Provider Demographics
NPI:1861635880
Name:SPINNER, JOANNE MARIE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:MARIE
Last Name:SPINNER
Suffix:
Gender:F
Credentials:LCSW
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:120 MINEOLA BLVD
Mailing Address - Street 2:INSTITUTE FOR CANCER CARE, SUITE 600
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-4064
Mailing Address - Country:US
Mailing Address - Phone:516-663-1017
Mailing Address - Fax:516-663-1185
Practice Address - Street 1:120 MINEOLA BLVD
Practice Address - Street 2:INSTITUTE FOR CANCER CARE, SUITE 600
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-4064
Practice Address - Country:US
Practice Address - Phone:516-663-1017
Practice Address - Fax:516-663-1185
Is Sole Proprietor?:No
Enumeration Date:2009-04-07
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY72 0596361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01666971Medicaid