Provider Demographics
NPI:1891947800
Name:DANIELOWICH, CHRISTINE ALEXANDRA (LMSW)
Entity Type:Individual
Prefix:MISS
First Name:CHRISTINE
Middle Name:ALEXANDRA
Last Name:DANIELOWICH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2084 RANDALL AVE
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-2652
Mailing Address - Country:US
Mailing Address - Phone:516-551-3771
Mailing Address - Fax:
Practice Address - Street 1:2084 RANDALL AVE
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-2652
Practice Address - Country:US
Practice Address - Phone:516-551-3771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY062612-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker