Provider Demographics
NPI:1922391481
Name:MACALUSO, DINA (LMSW)
Entity Type:Individual
Prefix:
First Name:DINA
Middle Name:
Last Name:MACALUSO
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 1:16515 88TH AVE
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-4113
Mailing Address - Country:US
Mailing Address - Phone:718-291-4848
Mailing Address - Fax:718-291-5485
Practice Address - Street 1:16515 88TH AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-4113
Practice Address - Country:US
Practice Address - Phone:718-291-4848
Practice Address - Fax:718-291-5485
Is Sole Proprietor?:No
Enumeration Date:2011-05-17
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY081368-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker