| Dianna Cianfrocco, Lcsw, Pllc | |
|
8469 Seneca Tpke New Hartford NY 13413-4900 | |
| (315) 271-6122 | |
| Not Available |
| Full Name | Dianna Cianfrocco, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 8469 Seneca Tpke, New Hartford, New York |
| Authorized Official Name and Position | Dianna Cianfrocco (OWNER/LICENSED CLINICAL SOCIAL WORK) |
| Authorized Official Contact | 3152716122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dianna Cianfrocco, Lcsw, Pllc 410 Hickory St Rome NY 13440-2110 Ph: (315) 271-6122 | Dianna Cianfrocco, Lcsw, Pllc 8469 Seneca Tpke New Hartford NY 13413-4900 Ph: (315) 271-6122 |
| NPI Number | 1598273021 |
|---|---|
| Provider Enumeration Date | 01/18/2018 |
| Last Update Date | 01/18/2018 |
| Medicare PECOS PAC ID | 8729348032 |
|---|---|
| Medicare Enrollment ID | O20180206002057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598273021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R043165-1 (New York) | Primary |
| Provider Name | Dianna Cianfrocco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912397647 PECOS PAC ID: 6608136890 Enrollment ID: I20180208002063 |
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