Provider Demographics
NPI:1821208877
Name:STOLOVE, JOANNA (LCSW)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:STOLOVE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JOANNA
Other - Middle Name:
Other - Last Name:SCHNEIDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:215 ADAMS ST
Mailing Address - Street 2:#7F
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-2856
Mailing Address - Country:US
Mailing Address - Phone:516-697-7795
Mailing Address - Fax:
Practice Address - Street 1:215 ADAMS ST
Practice Address - Street 2:#7F
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-2856
Practice Address - Country:US
Practice Address - Phone:516-697-7795
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY073206-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical