Provider Demographics
NPI:1073548392
Name:CELA, JOAN (MSW)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:CELA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 ROSE LN
Mailing Address - Street 2:
Mailing Address - City:CHAPPAQUA
Mailing Address - State:NY
Mailing Address - Zip Code:10514-2004
Mailing Address - Country:US
Mailing Address - Phone:914-238-8968
Mailing Address - Fax:914-238-6722
Practice Address - Street 1:6 ROSE LN
Practice Address - Street 2:
Practice Address - City:CHAPPAQUA
Practice Address - State:NY
Practice Address - Zip Code:10514-2004
Practice Address - Country:US
Practice Address - Phone:914-238-8968
Practice Address - Fax:914-238-6722
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0220471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
P76327Medicare UPIN
N5Z022Medicare ID - Type Unspecified