MS. DANIELLE SMITH LICITRA (NPI# 1992732952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992732952 |
| Entity Type | Individual |
| Full Name | MS. DANIELLE SMITH LICITRA |
| Credential | LCSW-R |
| Practice Address |
138 North Court St Wampsville NY 13163-0608 |
| Mailing Address |
305 Smith St Manlius NY 13104-1825 |
| Practice Telephone | 3153662327 |
| Practice Fax Number | 3153662599 |
| Mailing Telephone | 3156828126 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
R040293-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
138 NORTH COURT ST |
| City | WAMPSVILLE |
| State | NY |
| Zip Code | 13163-0608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861968968 | Mark James Miller | Social Worker | 138 North Court St, Wampsville, NY 13163 | 2018-10-17 |
| 1568999175 | Madison County Health Deptartment | Case Manager/Care Coordinator | 138 North Court St, Wampsville, NY 13163 | 2017-05-12 |
| 1134521545 | Karen Burgwin | Case Manager/Care Coordinator | 138 North Court St, Wampsville, NY 13163-0605 | 2014-09-17 |
| 1033518444 | Denice Ann Townsend | Licensed Practical Nurse | 138 North Court St, Wampsville, NY 13163 | 2014-08-21 |
| 1124461975 | Errol Richard Dodd | Registered Nurse | 138 North Court St, Wampsville, NY 13163-0608 | 2013-04-11 |
| 1164784468 | Linda S Fellows | Case Manager/Care Coordinator | 138 North Court St, Wampsville, NY 13163 | 2012-06-12 |
| 1770842676 | Theresa Lorraine Gibbs | Counselor | 138 North Court St, Veteran's Memorial Building, 2nd Floor, Wampsville, NY 13163 | 2012-05-11 |
| 1366772840 | Sarah Jeanne Fish Law | Social Worker | 138 North Court St, Wampsville, NY 13163 | 2010-01-06 |
| 1639327984 | Gregory William Owens | Social Worker | 138 North Court St, Wampsville, NY 13163 | 2008-08-28 |
| 1588840037 | Catherine Becallo Smith | Social Worker | 138 North Court St, Madison County Mental Health Department, Wampsville, NY 13163-0608 | 2008-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164824462 | Beth Perry | Social Worker | 138 N Court Street, Wampsville, NY 13163 | 2014-09-18 |
| 1659529949 | Timothy Gerard Brown | Social Worker | 138 N. Court St, Wampsville, NY 13163 | 2008-08-29 |
| 1477752376 | Muftah A. Kadura, Md | Internal Medicine | 235 Genesee St, Wampsville, NY 13163 | 2007-07-12 |
| 1881719888 | Kenneth Edward Hefty | Counselor | 138 North Court Rd, Wampsville, NY 13163 | 2007-03-20 |
| 1518990811 | Denise Michelle Calcagnino | Counselor | Veterans Memorial Building, North Court Street, Wampsville, NY 13163 | 2006-07-09 |
| 1871157065 | Mallory Kleps | Counselor | 138 N Court St, Wampsville, NY 13163 | 2019-04-24 |
| 1881194611 | Christina Labella | Counselor | 138 N. Court Street, Wampsville, NY 13163 | 2018-02-19 |
| 1083143358 | Megan Mcpeak | Social Worker | 138 N. Court St., Wampsville, NY 13163 | 2017-06-08 |
| 1194276451 | Susan Sweetland | Student in an Organized Health Care Education/Training Program | 138 N Court St, Wampsville, NY 13163 | 2016-10-20 |
| 1003365792 | Stephanie Ann Thompson | Social Worker | 138 North Court Street, Wampsville, NY 13163 | 2016-09-23 |
| Find all providers in zip 13163 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477703023 | Anna Pavia | Social Worker | 138 N. Court Street, Wampsville, NY 13163-0608 | 2008-09-19 |
| 1629005616 | Kimberly Anne Puetzer | Social Worker | 138 North Court Street Madison Co. Mental Health Dept, Veterans Memorial Building, Wampsville, NY 13163-0608 | 2006-06-27 |
| 1740220359 | Tia Hwang | Social Worker | North Court Street, Veteran's Memorial Building, Wampsville, NY 13163-0608 | 2006-06-08 |
| 1861968968 | Mark James Miller | Social Worker | 138 North Court St, Wampsville, NY 13163 | 2018-10-17 |
| 1083143358 | Megan Mcpeak | Social Worker | 138 N. Court St., Wampsville, NY 13163 | 2017-06-08 |
| 1639327984 | Gregory William Owens | Social Worker | 138 North Court St, Wampsville, NY 13163 | 2008-08-28 |
| 1558528497 | Kimberly Marie Gerace | Social Worker | 138 N Court St, Wampsville, NY 13163-0608 | 2008-05-19 |
| 1447443437 | Teisha Marie Cook | Social Worker | 138 North Court Street, Wampsville, NY 13163-0608 | 2007-08-22 |
| 1316141252 | Shawna M Morasco | Social Worker | 138 North Court St, Wampsville, NY 13163 | 2007-06-13 |
| 1437371903 | Kimberly Centore | Social Worker | 138 North Court Street, Wampsville, NY 13163-0608 | 2007-05-03 |
| Find all providers in WAMPSVILLE | ||||
| City | WAMPSVILLE |
| Zip Code | 13163 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.