Provider Demographics
NPI:1881028454
Name:MEYEROFF, DANIEL C (LCSW)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:C
Last Name:MEYEROFF
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 1:121 TOP NOTCH RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-6442
Mailing Address - Country:US
Mailing Address - Phone:845-820-7733
Mailing Address - Fax:
Practice Address - Street 1:121 TOP NOTCH RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-6442
Practice Address - Country:US
Practice Address - Phone:845-820-7733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-30
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0729801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical