Provider Demographics
NPI:1437482361
Name:DIAMANTINI, PAOLO (LCSW)
Entity Type:Individual
Prefix:MR
First Name:PAOLO
Middle Name:
Last Name:DIAMANTINI
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 1:210 CLINTON AVE
Mailing Address - Street 2:APT. 9E
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205-3438
Mailing Address - Country:US
Mailing Address - Phone:917-702-8864
Mailing Address - Fax:
Practice Address - Street 1:291 BROADWAY
Practice Address - Street 2:SUITE 1407
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-1814
Practice Address - Country:US
Practice Address - Phone:917-702-8864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-10
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY080641-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical