=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407070832
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RDC CENTER FOR COUNSELING AND HUMAN DEVELOPMENT INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/13/2007
-----------------------------------------------------
Last Update Date | 11/18/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 52 N BROADWAY
-----------------------------------------------------
City | WHITE PLAINS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10603-3710
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-798-1103
-----------------------------------------------------
Fax | 914-422-8123
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 52 NORTH BROADWAY
-----------------------------------------------------
City | WHITE PLAINS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10603-3710
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-798-1103
-----------------------------------------------------
Fax | 914-422-8123
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | MS. CHRISTINA SODDANO
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 914-798-1299
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------