Provider Demographics
NPI:1437240108
Name:DINARDO, ADRIANA PASCUA (MSW)
Entity Type:Individual
Prefix:MS
First Name:ADRIANA
Middle Name:PASCUA
Last Name:DINARDO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400A 17TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-6105
Mailing Address - Country:US
Mailing Address - Phone:718-633-0700
Mailing Address - Fax:718-633-0700
Practice Address - Street 1:135 OCEAN PKWY APT 1F
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-2579
Practice Address - Country:US
Practice Address - Phone:718-633-0700
Practice Address - Fax:347-663-7389
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR022474-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP2718252OtherOXFORD
NY199706OtherVALUE OPTIONS PIN
NY269191OtherMHN PIN
NY7402405OtherGHI
NY199706OtherVALUE OPTIONS PIN
NYA100067480Medicare PIN