Provider Demographics
NPI:1255497517
Name:NICOLETTI, DENISE MARIE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:MARIE
Last Name:NICOLETTI
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 1:470 HALSTEAD AVE APT 2J
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10528-3834
Mailing Address - Country:US
Mailing Address - Phone:914-646-3907
Mailing Address - Fax:
Practice Address - Street 1:277 NORTH AVE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5103
Practice Address - Country:US
Practice Address - Phone:914-632-7600
Practice Address - Fax:914-632-8837
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY073642104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker