1528065372 NPI number — MS. ANNETTE DINAPOLI LCSW, DCSW

Table of content: MS. ANNETTE DINAPOLI LCSW, DCSW (NPI 1528065372)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528065372 NPI number — MS. ANNETTE DINAPOLI LCSW, DCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DINAPOLI
Provider First Name:
ANNETTE
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW, DCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528065372
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
03/21/2006
NPI Reactivation Date:
03/27/2006

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 232
Provider Second Line Business Mailing Address:
SUITE #8A
Provider Business Mailing Address City Name:
NEWFOUNDLAND
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07435-0232
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
973-208-8884
Provider Business Mailing Address Fax Number:
973-601-0454

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2713 ROUTE 23 SOUTH
Provider Second Line Business Practice Location Address:
SUITE #8A
Provider Business Practice Location Address City Name:
NEWFOUNDLAND
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07435-0232
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-208-8884
Provider Business Practice Location Address Fax Number:
973-601-0454
Provider Enumeration Date:
07/07/2005

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:  44SC00075100 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 104200 . This is a "MENTAL HEALTH NETWORK" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: J024934 . This is a "CHAMPUS PROVIDER NUMBER" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: OK5408 . This is a "PHYSICANS HEALTH SERVICES" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: P451839 . This is a "OXFORD INSURANCE PROVIDER" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 140000751NJ01 . This is a "ANTHEM HEALTH NETWORK" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 35141 . This is a "UNITED BEHAVIORAL HEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: N1B061 . This is a "EMPIRE B/C B/S PROVIDER #" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 039398 . This is a "VALUE OPTIONS PROVIDER #" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 44SC00075100 . This is a "LCSW LICENSE NUMBER" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




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