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DANIELLE N MASTRIANO MSWBALMSWLADC NPI 1346590601


NPI Information

NPI: 1346590601
Provider Name: DANIELLE N MASTRIANO, MSW,BA,LMSW,LADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
141 E MAIN ST
3RD FLOOR HOME BASED SERVICES
WATERBURY, CT
ZIP 06702
Phone: (203) 575-0466
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Danielle N Mastriano, MSW,BA,LMSW,LADC is an addiction (substance use disorder) counselor in Waterbury, CT. Danielle N Mastriano, MSW,BA,LMSW,LADC NPI is 1346590601. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

141 E MAIN ST
3RD FLOOR HOME BASED SERVICES
WATERBURY, CT
ZIP 06702-310
Phone: (203) 575-0466
Fax: (203) 574-3315

The enumeration date for this NPI number is 9/13/2012 and was last updated on 11/19/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial Worker000078CONNECTICUTNo
2101YA0400XCounselorAddiction (Substance Use Disorder)1124CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CAC-6076OTHERCONNECTICUTCONNECTICUT CERTIFICATION BOARD, INC
2ICADC-6076OTHERCONNECTICUTCONNECTICUT CERTIFICATION BOARD, INC.
312801295OTHERCAQH
4008057354MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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