Provider Demographics
NPI:1184459034
Name:CECUTTI, JAIME DANIELLE (LMSW)
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:DANIELLE
Last Name:CECUTTI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 51ST ST APT 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-2492
Mailing Address - Country:US
Mailing Address - Phone:646-256-0378
Mailing Address - Fax:
Practice Address - Street 1:235 51ST ST APT 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-2492
Practice Address - Country:US
Practice Address - Phone:646-256-0378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-02
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY066276-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker