Provider Demographics
NPI:1538390216
Name:GRAPPONE, DINA A (LCSWR)
Entity type:Individual
Prefix:MRS
First Name:DINA
Middle Name:A
Last Name:GRAPPONE
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:
Other - First Name:DINA
Other - Middle Name:
Other - Last Name:BOMBARDIERE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSWR
Mailing Address - Street 1:100 VETERANS BLVD STE 2
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-4913
Mailing Address - Country:US
Mailing Address - Phone:516-847-5829
Mailing Address - Fax:
Practice Address - Street 1:100 VETERANS BLVD STE 2
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758
Practice Address - Country:US
Practice Address - Phone:516-847-5829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-29
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY080411-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical