Provider Demographics
NPI:1437545811
Name:PERRONE, JOANN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JOANN
Middle Name:
Last Name:PERRONE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:JOANN
Other - Middle Name:
Other - Last Name:PERRONE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:331 LEONARD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-2309
Mailing Address - Country:US
Mailing Address - Phone:347-857-8998
Mailing Address - Fax:
Practice Address - Street 1:331 LEONARD ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-2309
Practice Address - Country:US
Practice Address - Phone:347-857-8998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-12
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY092225-1104100000X
NY0890561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker