Provider Demographics
NPI:1942854385
Name:ERENA DIGONIS LCSW PLLC
Entity Type:Organization
Organization Name:ERENA DIGONIS LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERENA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIGONIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:917-750-4811
Mailing Address - Street 1:926 S COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:BELLPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11713-2512
Mailing Address - Country:US
Mailing Address - Phone:917-750-4811
Mailing Address - Fax:
Practice Address - Street 1:926 S COUNTRY RD
Practice Address - Street 2:
Practice Address - City:BELLPORT
Practice Address - State:NY
Practice Address - Zip Code:11713-2512
Practice Address - Country:US
Practice Address - Phone:917-750-4811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-24
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchoolGroup - Single Specialty