Provider Demographics
NPI:1497712459
Name:STEINBRAKER, DALIA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DALIA
Middle Name:
Last Name:STEINBRAKER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:DALIA
Other - Middle Name:
Other - Last Name:TARTAGLIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2533 86TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-4414
Mailing Address - Country:US
Mailing Address - Phone:718-226-8449
Mailing Address - Fax:718-226-8467
Practice Address - Street 1:450 SEAVIEW AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305-3401
Practice Address - Country:US
Practice Address - Phone:718-226-8449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0588021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02182772Medicaid
NY02182772Medicaid