Provider Demographics
NPI:1447274097
Name:DINUNZIO, JOANNE (LMSW)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:DINUNZIO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:JOANNE
Other - Middle Name:
Other - Last Name:DINUNZIO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:6801082542
Mailing Address - Street 1:19611 E 8 MILE RD
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48080-1655
Mailing Address - Country:US
Mailing Address - Phone:586-541-3550
Mailing Address - Fax:586-204-3382
Practice Address - Street 1:175 NORTH GROESBECK
Practice Address - Street 2:
Practice Address - City:MT. CLEMENS
Practice Address - State:MI
Practice Address - Zip Code:48043
Practice Address - Country:US
Practice Address - Phone:586-627-0024
Practice Address - Fax:586-627-0027
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010825421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical