Provider Demographics
NPI:1437799509
Name:MASON, DANI (LMSW)
Entity Type:Individual
Prefix:
First Name:DANI
Middle Name:
Last Name:MASON
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 1:5100 SUNRISE HWY FL 2
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11762-2935
Mailing Address - Country:US
Mailing Address - Phone:631-696-4357
Mailing Address - Fax:516-548-8220
Practice Address - Street 1:5100 SUNRISE HWY FL 2
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA PARK
Practice Address - State:NY
Practice Address - Zip Code:11762-2935
Practice Address - Country:US
Practice Address - Phone:631-696-4357
Practice Address - Fax:516-548-8220
Is Sole Proprietor?:No
Enumeration Date:2020-01-07
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1092061041C0700X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical