Mastriano, Danielle N
Mastriano, Danielle N is an individual health care provider with primary practice located at 141 E Main St 3Rd Floor Home Based Services, Waterbury CT 06702-2310. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Mastriano, Danielle N can be contacted via phone (203) 575-0466.Contact Information
Primary practice address
141 E Main St 3Rd Floor Home Based Services
Waterbury CT 06702-2310
Phone: (203) 575-0466
Fax: (203) 574-3315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 000078 | Connecticut |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1124 | Connecticut |
Profile Details
| NPI number | 1346590601 |
|---|---|
| LBN Legal business name | Mastriano, Danielle N |
| Credentials | MSW,BA,LMSW,LADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2012 |
| Last updated | Nov 19th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346590601 | NPPES |
| Connecticut | MEDICAID | 008057354 | |
| Connecticut | Other | 12801295 | |
| Connecticut | Other | CAC-6076 | |
| Connecticut | Other | ICADC-6076 |
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