- Practice location
- 50 Dayton Ln, Andrus Children'S Center Mental Health Division, Peekskill, NY 10566-2859
- Phone
- 914-736-3371
- Fax
- 914-736-3372
- Last updated
- November 20, 2009
Domenica A South is a Social Worker, Clinical based in Peekskill, NY. Domenica A South practices in Peekskill, NY and has the professional credentials of LCSW. The NPI Number for Domenica A South is 1407807837 and holds a License No. 067024 (NY). The current practice location address for Domenica A South is 50 Dayton Ln, Andrus Children'S Center Mental Health Division, Peekskill, NY 10566-2859 and can be reached out via phone at 914-736-3371 and via fax at 914-736-3372.
Provider Profile Details
- NPI Number
- 1407807837
- Provider Name
- Domenica A South
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 50 Dayton Ln, Andrus Children'S Center Mental Health Division, Peekskill, NY 10566-2859
- Phone Number
- 914-736-3371
- Fax Number
- 914-736-3372
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 12, 2006
- Last Update Date
- November 20, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 50 Dayton Ln
Andrus Children'S Center Mental Health Division
Peekskill, NY 10566-2859 - City
- Peekskill
- State
- New York
- Zip
- 10566-2859
- Phone Number
- 914-736-3371
- Fax Number
- 914-736-3372
Provider Business Mailing Address Details
- Address
- 50 Dayton Ln
Andrus Children'S Center
Peekskill, NY 10566-2859 - City
- Peekskill
- State
- NY
- Zip
- 10566-2859
- Phone Number
- 914-732-3371
- Fax Number
- 917-732-3372
License Information
- License Number (1)
- 067024
- License State (1)
- NY
- Taxonomy (1)
- Social Worker · 104100000X
- License Number (2)
- 076020
- License State (2)
- NY
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Peekskill, NY
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- Anne W Kelsey, LMSWSocial Worker, Clinical · NPI 1164741112
- Cheryl A Accardi, LCSWSocial Worker, Clinical · NPI 1417125063
- Citlalicue D Herrera, LCSWSocial Worker, Clinical · NPI 1164057824
- David CharySocial Worker, Clinical · NPI 1922750124
Frequently Asked Questions
What is the NPI number of Domenica A South, LCSW?
The NPI number of Domenica A South, LCSW is 1407807837. It was assigned on May 12, 2006 and is currently active in the NPPES registry.
What is the specialty of Domenica A South, LCSW?
Domenica A South, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 067024.
Where does Domenica A South, LCSW practice?
The practice location is 50 Dayton Ln, Andrus Children'S Center Mental Health Division, Peekskill, NY 10566-2859. The office can be reached at 914-736-3371 (phone) or 914-736-3372 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407807837 directly on the NPPES registry website.