Provider Demographics
NPI:1982953279
Name:ARTUSO D'ONOFRIO, THERESA M (LCSW)
Entity type:Individual
Prefix:
First Name:THERESA
Middle Name:M
Last Name:ARTUSO D'ONOFRIO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:THERESA
Other - Middle Name:M
Other - Last Name:ARTUSO D'ONOFRIO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 934
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10528-0934
Mailing Address - Country:US
Mailing Address - Phone:914-774-5903
Mailing Address - Fax:
Practice Address - Street 1:125 SPENCER PL
Practice Address - Street 2:
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-5601
Practice Address - Country:US
Practice Address - Phone:914-774-5903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-03
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0796551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical