Provider Demographics
NPI:1891304531
Name:ARIELI, DENISE X (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:X
Last Name:ARIELI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MRS
Other - First Name:DEGANIT
Other - Middle Name:X
Other - Last Name:ARIELI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:4541 193RD ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-3441
Mailing Address - Country:US
Mailing Address - Phone:646-623-8115
Mailing Address - Fax:
Practice Address - Street 1:4541 193RD ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-3441
Practice Address - Country:US
Practice Address - Phone:646-623-8115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-29
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048553101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty