Provider Demographics
NPI:1164440145
Name:ONORATO, NICOLE M (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:M
Last Name:ONORATO
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 1:65 BRICK POND RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-4263
Mailing Address - Country:US
Mailing Address - Phone:845-551-3693
Mailing Address - Fax:845-323-9458
Practice Address - Street 1:65 BRICK POND RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-4263
Practice Address - Country:US
Practice Address - Phone:845-551-3693
Practice Address - Fax:845-239-4587
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY071984-1104100000X
NY70182861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY071984OtherLMSW
NY7018286OtherLCSW
NY5577699OtherREGISTRATION CERTIFICATE#
NY526845020OtherDRIVERS LICENSE#