Theresa Rose Domenichello, LCSW
Theresa Rose Domenichello, LCSW is a Social Worker in Port Jeff Sta, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2021
What do these letters mean?
- LCSW — Licensed Clinical Social Worker
- A social worker licensed to diagnose and treat mental health conditions independently.
Practice location Address checks out
646 Main St Ste 206Port Jeff Sta, NY 11777-2230
Phone: (631) 213-9377
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence 106018 (NY) |
|---|
Record details
| NPI number | 1427646074 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCSW |
| Sole proprietor | Yes |
| NPI enumerated | January 8, 2021 |
| Last updated in NPPES | October 21, 2024 |
| Certification date | October 21, 2024 |
Other providers in Port Jeff Sta
-
Alissa Brooks, LCSW
650 Hallock Ave, Port Jeff Sta, NY 11776-1256 · (631) 403-3318
-
Sarah Huss
299 Hallock Ave, Port Jeff Sta, NY 11776-1217 · (631) 473-4284