Provider Demographics
NPI:1104045442
Name:COMISKEY, DANIELLE M (LCSW)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:M
Last Name:COMISKEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 E BROADWAY APT 7K
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-4458
Mailing Address - Country:US
Mailing Address - Phone:516-317-3911
Mailing Address - Fax:
Practice Address - Street 1:410 E BROADWAY APT 7K
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-4458
Practice Address - Country:US
Practice Address - Phone:516-317-3911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY071565-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical