Provider Demographics
NPI:1245396449
Name:DEMARTINO-SADOWSKI, JOANNE P (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:P
Last Name:DEMARTINO-SADOWSKI
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 1:231 CROCUS AVE
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-2330
Mailing Address - Country:US
Mailing Address - Phone:516-354-7515
Mailing Address - Fax:
Practice Address - Street 1:231 CROCUS AVE
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-2330
Practice Address - Country:US
Practice Address - Phone:516-354-7515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR028873 1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY146534OtherVALUE OPTIONS EMPIRE PLAN
NY0083111OtherGHI NEW YORK CITY
NY0083111OtherGHI NEW YORK CITY