Provider Demographics
NPI:1790995504
Name:DENTE, CLAIRE L (PHD, MSW, LCSW)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:L
Last Name:DENTE
Suffix:
Gender:F
Credentials:PHD, MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 BLACK HAWK CT
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-5526
Mailing Address - Country:US
Mailing Address - Phone:610-565-5552
Mailing Address - Fax:
Practice Address - Street 1:114 W ROSEDALE AVE
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19383-1002
Practice Address - Country:US
Practice Address - Phone:610-436-2527
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0138851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical