Provider Demographics
NPI:1982899779
Name:NOTARO-SALVO, LUCY MARIE (LMSW)
Entity type:Individual
Prefix:MS
First Name:LUCY
Middle Name:MARIE
Last Name:NOTARO-SALVO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15850 95TH ST
Mailing Address - Street 2:
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414-3219
Mailing Address - Country:US
Mailing Address - Phone:917-676-4571
Mailing Address - Fax:718-848-0410
Practice Address - Street 1:15850 95TH ST
Practice Address - Street 2:
Practice Address - City:HOWARD BEACH
Practice Address - State:NY
Practice Address - Zip Code:11414-3219
Practice Address - Country:US
Practice Address - Phone:917-676-4571
Practice Address - Fax:718-848-0410
Is Sole Proprietor?:No
Enumeration Date:2007-09-13
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0752771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical