Provider Demographics
NPI:1134285265
Name:CITARRELLA, VERONICA M (LMSW)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:M
Last Name:CITARRELLA
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 1:1591 ARGYLE RD
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-3143
Mailing Address - Country:US
Mailing Address - Phone:516-637-4867
Mailing Address - Fax:
Practice Address - Street 1:1591 ARGYLE RD
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-3143
Practice Address - Country:US
Practice Address - Phone:516-637-4867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY068385-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical