NPI 1013139716

Agnelo B Dias, EDDLCSW

Practitioner Clinical Social Worker Merrick, NY

Practice location

Address: 2174 Hewlett Ave Suite 212, Merrick, NY 11566-3606
Phone: (516) 513-2678
Fax: (516) 414-1953
Mailing address: 595 Dogwood Ave, West Hempstead, NY 11552-3128

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 73 079925 (NY)

Other Social Worker providers in New York →

Registry record

NPI: 1013139716
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 May 2007
Record last updated: 16 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.