Provider Demographics
NPI:1952478257
Name:CHITI, DANIELE REGINE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DANIELE
Middle Name:REGINE
Last Name:CHITI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 BRENTWOOD AVENUE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605
Mailing Address - Country:US
Mailing Address - Phone:914-948-5271
Mailing Address - Fax:914-941-0182
Practice Address - Street 1:8 BRENTWOOD AVENUE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605
Practice Address - Country:US
Practice Address - Phone:914-948-5271
Practice Address - Fax:914-941-0182
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY069764103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYNSV621Medicare ID - Type Unspecified