Provider Demographics
NPI:1114672292
Name:DUMA, DIANA (SOCIAL WORKER, LMSW)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:DUMA
Suffix:
Gender:F
Credentials:SOCIAL WORKER, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:292 LAFAYETTE AVE
Mailing Address - Street 2:
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-6754
Mailing Address - Country:US
Mailing Address - Phone:914-438-1180
Mailing Address - Fax:
Practice Address - Street 1:292 LAFAYETTE AVE
Practice Address - Street 2:
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-6754
Practice Address - Country:US
Practice Address - Phone:914-438-1180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0942651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty