MEDICARE: MS. DANIELLE LANATRA L.M.S.W.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	080648	NY

General Provider Information

NPI Number	:	1154527174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DANIELLE LANATRA L.M.S.W.

Provider Business Mailing Address
First Line	:	21 ORSINI DR
Second Line	:
City	:	LARCHMONT
State	:	NY
Zip	:	10538-1641
Country	:	US
Telephone Number	:	917-882-9916
Fax Number	:

Provider Business Practice Location Address
First Line	:	1890 PALMER AVE STE 307
Second Line	:
City	:	LARCHMONT
State	:	NY
Zip	:	10538-3031
Country	:	US
Telephone Number	:	914-502-3877
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2007
Last Update Date	:	09/08/2025

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