MEDICARE: DAPHNE ST VALLIERE LCSW

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	102756	NY
2	104100000X	Social Worker	102235	NY

General Provider Information

NPI Number	:	1649951492
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAPHNE ST VALLIERE LCSW

Provider Business Mailing Address
First Line	:	408 W 145TH ST APT 1B
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10031-5202
Country	:	US
Telephone Number	:	347-577-2306
Fax Number	:

Provider Business Practice Location Address
First Line	:	6704 MYRTLE AVE
Second Line	:
City	:	GLENDALE
State	:	NY
Zip	:	11385-7033
Country	:	US
Telephone Number	:	347-577-2306
Fax Number	:

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

Provider Enumeration Date	:	07/25/2023
Last Update Date	:	04/22/2026

Similar Medicare Providers

1396688925 — JAKOB H VON EICHEL MA
Practice Location Address:

6704 MYRTLE AVE STE 2080
GLENDALE, NY
11385-7033

Practice Phone: 347-871-5931
Practice Fax:

1861059404 — MARSH CREATIVE ARTS THERAPY
Practice Location Address:

6704 MYRTLE AVE
GLENDALE, NY
11385-7033

Practice Phone: 347-871-5931
Practice Fax:

1265094221 — EMILY RUBIN
Practice Location Address:

6704 MYRTLE AVE # 462
GLENDALE, NY
11385-7033

Practice Phone: 970-310-3350
Practice Fax:

1982413571 — DANIELLE NEWMARK LCAT
Practice Location Address:

6704 MYRTLE AVE # 2080
GLENDALE, NY
11385-7033

Practice Phone: 347-871-5931
Practice Fax:

1265225817 — GWENDOLYN DEL TORO
Practice Location Address:

6704 MYRTLE AVE # 480
GLENDALE, NY
11385-7033

Practice Phone: 646-661-2323
Practice Fax:

1669327581 — ZOMELY GRULLON LCAT-LP, MA
Practice Location Address:

6704 MYRTLE AVE STE 2080
GLENDALE, NY
11385-7033

Practice Phone: 347-871-5931
Practice Fax:

Directions to “ DAPHNE ST VALLIERE LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.