Provider Demographics
NPI:1144309907
Name:CHARNEY, JOANNE (LCSW)
Entity type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:
Last Name:CHARNEY
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 1:201 BRYSON AV
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314
Mailing Address - Country:US
Mailing Address - Phone:718-442-0562
Mailing Address - Fax:718-370-2150
Practice Address - Street 1:201 BRYSON AV
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314
Practice Address - Country:US
Practice Address - Phone:718-442-0562
Practice Address - Fax:718-370-2150
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR02999711041C0700X
FLSW63361041C0700X
NJ44SC001708001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
4367725OtherAETNA
NYN27601Medicare ID - Type Unspecified