Provider Demographics
NPI:1679256606
Name:DILASCIO, NATALIE (LMSW)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:DILASCIO
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 1:14 ATHEM DR
Mailing Address - Street 2:
Mailing Address - City:GLEN COVE
Mailing Address - State:NY
Mailing Address - Zip Code:11542-1240
Mailing Address - Country:US
Mailing Address - Phone:516-510-8903
Mailing Address - Fax:
Practice Address - Street 1:125 MICHAEL DR
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-5311
Practice Address - Country:US
Practice Address - Phone:203-529-1192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY114400104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker