Provider Demographics
NPI:1750491155
Name:D'AMADDIO, DARIN (LCSW)
Entity Type:Individual
Prefix:MR
First Name:DARIN
Middle Name:
Last Name:D'AMADDIO
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 UNCAS DR
Mailing Address - Street 2:
Mailing Address - City:AMSTON
Mailing Address - State:CT
Mailing Address - Zip Code:06231-1331
Mailing Address - Country:US
Mailing Address - Phone:860-228-8880
Mailing Address - Fax:
Practice Address - Street 1:19 UNCAS DR
Practice Address - Street 2:
Practice Address - City:AMSTON
Practice Address - State:CT
Practice Address - Zip Code:06231-1331
Practice Address - Country:US
Practice Address - Phone:860-228-8880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0046681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical