Provider Demographics
NPI:1821005455
Name:ACCOLLA, RINA FRANCESCA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:RINA
Middle Name:FRANCESCA
Last Name:ACCOLLA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 MARLAN CT
Mailing Address - Street 2:
Mailing Address - City:SEA CLIFF
Mailing Address - State:NY
Mailing Address - Zip Code:11579-2118
Mailing Address - Country:US
Mailing Address - Phone:516-671-0065
Mailing Address - Fax:516-671-0065
Practice Address - Street 1:15 MARLAN CT
Practice Address - Street 2:
Practice Address - City:SEA CLIFF
Practice Address - State:NY
Practice Address - Zip Code:11579-2118
Practice Address - Country:US
Practice Address - Phone:516-671-0065
Practice Address - Fax:516-671-0065
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR047905-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health