Provider Demographics
NPI:1003185968
Name:TUFANO, CARMELA (LCSW)
Entity type:Individual
Prefix:
First Name:CARMELA
Middle Name:
Last Name:TUFANO
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 1:3211 SCHREIBER PL
Mailing Address - Street 2:
Mailing Address - City:BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-4666
Mailing Address - Country:US
Mailing Address - Phone:516-377-9461
Mailing Address - Fax:516-377-9432
Practice Address - Street 1:3211 SCHREIBER PL
Practice Address - Street 2:
Practice Address - City:BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-4666
Practice Address - Country:US
Practice Address - Phone:516-377-9461
Practice Address - Fax:516-377-9432
Is Sole Proprietor?:No
Enumeration Date:2011-12-22
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY730754011041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool