Provider Demographics
NPI:1497512370
Name:DICOLA, CARA (LMSW)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:DICOLA
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 1:158 MILFORD ST APT 21
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14615-1812
Mailing Address - Country:US
Mailing Address - Phone:251-458-5645
Mailing Address - Fax:
Practice Address - Street 1:158 MILFORD ST APT 21
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14615-1812
Practice Address - Country:US
Practice Address - Phone:251-458-5645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker