Provider Demographics
NPI:1073256442
Name:GRONDA, DANIELLE SAMANTHA (MS, MHC-LP)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:SAMANTHA
Last Name:GRONDA
Suffix:
Gender:F
Credentials:MS, MHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2857 LINDEN BLVD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11208-5126
Mailing Address - Country:US
Mailing Address - Phone:718-235-3100
Mailing Address - Fax:
Practice Address - Street 1:EAST NEW YORK CHILD AND FAMILY MENTAL HEALTH CENTER
Practice Address - Street 2:2857 LINDEN BOULEVARD
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11208
Practice Address - Country:US
Practice Address - Phone:718-235-3100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health