Healthcare Provider Details

I. General information

NPI: 1073548392
Provider Name (Legal Business Name): JOAN CELA M.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 ROSE LN
CHAPPAQUA NY
10514-2004
US

IV. Provider business mailing address

6 ROSE LN
CHAPPAQUA NY
10514-2004
US

V. Phone/Fax

Practice location:
  • Phone: 914-238-8968
  • Fax: 914-238-6722
Mailing address:
  • Phone: 914-238-8968
  • Fax: 914-238-6722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberR022047
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: