Provider Demographics
NPI:1609030659
Name:POLIMENI, DANIELLA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:DANIELLA
Middle Name:
Last Name:POLIMENI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:DANIELLA
Other - Middle Name:
Other - Last Name:TOZZI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:202 HENRY ST
Mailing Address - Street 2:
Mailing Address - City:UNION BEACH
Mailing Address - State:NJ
Mailing Address - Zip Code:07735-2642
Mailing Address - Country:US
Mailing Address - Phone:718-864-8722
Mailing Address - Fax:
Practice Address - Street 1:202 HENRY ST
Practice Address - Street 2:
Practice Address - City:UNION BEACH
Practice Address - State:NJ
Practice Address - Zip Code:07735-2642
Practice Address - Country:US
Practice Address - Phone:718-864-8722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-17
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1609030659Medicaid
NY01013818Medicaid