Provider Demographics
NPI:1275906281
Name:BALDASSARRE-CAAMANO, DONA
Entity Type:Individual
Prefix:MRS
First Name:DONA
Middle Name:
Last Name:BALDASSARRE-CAAMANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 LANE AVE
Mailing Address - Street 2:
Mailing Address - City:WEST CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-7404
Mailing Address - Country:US
Mailing Address - Phone:973-226-9444
Mailing Address - Fax:
Practice Address - Street 1:75 LANE AVE
Practice Address - Street 2:
Practice Address - City:WEST CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-7404
Practice Address - Country:US
Practice Address - Phone:973-226-9444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-12
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC051592001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical