1558777227 NPI number — MRS. VALERIE MARIE CAFARIELLA LMSW

Table of content: MRS. VALERIE MARIE CAFARIELLA LMSW (NPI 1558777227)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558777227 NPI number — MRS. VALERIE MARIE CAFARIELLA LMSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CAFARIELLA
Provider First Name:
VALERIE
Provider Middle Name:
MARIE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LMSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
O'NEILL
Provider Other First Name:
VALERIE
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1558777227
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/02/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16 BAYSIDE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MEDFORD
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11763
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
631-730-5615
Provider Business Mailing Address Fax Number:
631-730-5615

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16 BAYSIDE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MEDFORD
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11763
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-730-5615
Provider Business Practice Location Address Fax Number:
631-730-5615
Provider Enumeration Date:
07/02/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  085177-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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