Provider Demographics
NPI:1932362282
Name:LOIACONO, DARLENE H (MSW)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:H
Last Name:LOIACONO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:DARLENE
Other - Middle Name:H
Other - Last Name:FAIRBAIRN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:518 ANDERSON ROAD
Mailing Address - Street 2:PO BOX 446
Mailing Address - City:PARKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12768
Mailing Address - Country:US
Mailing Address - Phone:845-292-1462
Mailing Address - Fax:
Practice Address - Street 1:20 COMMUNITY LN
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:NY
Practice Address - Zip Code:12754-2851
Practice Address - Country:US
Practice Address - Phone:845-292-8770
Practice Address - Fax:845-292-4206
Is Sole Proprietor?:No
Enumeration Date:2008-07-08
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker