Provider Demographics
NPI:1972782399
Name:RUGGIERO, DANIEL F (LCSW)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:F
Last Name:RUGGIERO
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:DANIEL
Other - Middle Name:F
Other - Last Name:RUGGIERO
Other - Suffix:II
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:149 AVENUE A
Mailing Address - Street 2:APT 2R
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-4959
Mailing Address - Country:US
Mailing Address - Phone:212-533-7179
Mailing Address - Fax:
Practice Address - Street 1:227 E 19TH ST
Practice Address - Street 2:RM 718 BLDG7D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-2674
Practice Address - Country:US
Practice Address - Phone:212-995-7239
Practice Address - Fax:212-375-4297
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-01
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0739661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical