Provider Demographics
NPI:1821190414
Name:ESPOSITO, ORENE W (LCSW)
Entity type:Individual
Prefix:MS
First Name:ORENE
Middle Name:W
Last Name:ESPOSITO
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 1:2 SANDY ST
Mailing Address - Street 2:
Mailing Address - City:EAST NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11731-5421
Mailing Address - Country:US
Mailing Address - Phone:631-271-0964
Mailing Address - Fax:631-423-3230
Practice Address - Street 1:320 LAKE AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:SAINT JAMES
Practice Address - State:NY
Practice Address - Zip Code:11780-2255
Practice Address - Country:US
Practice Address - Phone:631-766-6791
Practice Address - Fax:631-423-3230
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2013-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR041826104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker