Provider Demographics
NPI:1710006929
Name:PAPPAS, JOANNE (LCSWR)
Entity type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:
Last Name:PAPPAS
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 S COTTENET ST
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:10533-1603
Mailing Address - Country:US
Mailing Address - Phone:914-263-9266
Mailing Address - Fax:914-591-9524
Practice Address - Street 1:34 S COTTENET ST
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NY
Practice Address - Zip Code:10533-1603
Practice Address - Country:US
Practice Address - Phone:914-263-9266
Practice Address - Fax:914-591-9524
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0476641-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical