Provider Demographics
NPI:1437386489
Name:BARONETTE, DELORES (LMSW)
Entity Type:Individual
Prefix:MS
First Name:DELORES
Middle Name:
Last Name:BARONETTE
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 1:197 ROSE ST
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11520-4204
Mailing Address - Country:US
Mailing Address - Phone:516-512-4618
Mailing Address - Fax:
Practice Address - Street 1:197 ROSE STREET
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:NY
Practice Address - Zip Code:11520-4204
Practice Address - Country:US
Practice Address - Phone:516-512-4618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency