Provider Demographics
NPI:1285676213
Name:DEL BENE, DONATO (LCSW)
Entity Type:Individual
Prefix:
First Name:DONATO
Middle Name:
Last Name:DEL BENE
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 PONDFIELD RD
Mailing Address - Street 2:UNIT 40
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-7603
Mailing Address - Country:US
Mailing Address - Phone:914-965-3700
Mailing Address - Fax:914-965-3883
Practice Address - Street 1:119 PONDFIELD RD
Practice Address - Street 2:UNIT 40
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-7603
Practice Address - Country:US
Practice Address - Phone:914-949-6780
Practice Address - Fax:914-949-3525
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0752451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00355940OtherAGENCY MEDICAID #
NY075245OtherNYS LICENSE
NY1285628552OtherJDAM NPI
NY075245OtherNYS LICENSE
NYWVE061Medicare ID - Type UnspecifiedJDAM MEDICARE PROVIDER ID