Provider Demographics
NPI:1134215254
Name:SAPORITO, JEANNE WILLIAMS (LCSW)
Entity type:Individual
Prefix:MS
First Name:JEANNE
Middle Name:WILLIAMS
Last Name:SAPORITO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:JEANNE
Other - Middle Name:
Other - Last Name:WILLIAMS-SAPORITO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:5900 ARLINGTON AVE
Mailing Address - Street 2:APT 4D
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-1302
Mailing Address - Country:US
Mailing Address - Phone:347-275-4808
Mailing Address - Fax:
Practice Address - Street 1:130 W KINGSBRIDGE RD
Practice Address - Street 2:SUITE 3C-61
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10468-3904
Practice Address - Country:US
Practice Address - Phone:718-584-9000
Practice Address - Fax:718-741-4606
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0545611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical