Provider Demographics
NPI:1386943389
Name:DINOZZI, ANGELA (LMSW)
Entity type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:
Last Name:DINOZZI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:DINOZZI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:83 NORTH MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:ELLENVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12428
Mailing Address - Country:US
Mailing Address - Phone:845-647-5400
Mailing Address - Fax:845-647-5419
Practice Address - Street 1:83 NORTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:ELLENVILLE
Practice Address - State:NY
Practice Address - Zip Code:12428
Practice Address - Country:US
Practice Address - Phone:845-647-5400
Practice Address - Fax:845-647-5419
Is Sole Proprietor?:No
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY073861-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker