Provider Demographics
NPI:1083015853
Name:LARIBEE, DENISE PATRICIA (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:PATRICIA
Last Name:LARIBEE
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 1:8348 OLD FLOYD RD
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:NY
Mailing Address - Zip Code:13440-0546
Mailing Address - Country:US
Mailing Address - Phone:315-941-0353
Mailing Address - Fax:315-336-0695
Practice Address - Street 1:8348 OLD FLOYD RD
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13440-0546
Practice Address - Country:US
Practice Address - Phone:315-941-0353
Practice Address - Fax:315-336-0695
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-11
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY091925104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker