Calderazzo, Penny Henrietta

Calderazzo, Penny Henrietta is an individual health care provider with primary practice located at 516 Chestnut St , Ithaca NY 14850-3015. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Calderazzo, Penny Henrietta can be contacted via phone (607) 592-5746.

Contact Information

Primary practice address
516 Chestnut St Ithaca NY 14850-3015
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 0603851 New York
Behavioral Health & Social Service Providers / Social Worker 104100000X 0701611 New York

Profile Details

NPI number 1649210527
LBN Legal business name Calderazzo, Penny Henrietta
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jul 21st, 2015 - about 9 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.

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