National Provider Identifier
Shanena Marie Dimaggio, LMHC
Shanena Marie Dimaggio, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Clarence, NY and a listed phone number of (716) 777-1720.
Profile Overview
- NPI
- 1134808579
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- July 13, 2023
- Last Updated
- July 13, 2023
Practice Location
- 4130 Ransom RD
- Clarence, NY 14031-2330
Phone: (716) 777-1720
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1134808579
- Entity Type
- Individual
- Last Name
- Dimaggio
- First Name
- Shanena
- Middle Name
- Marie
- Credential
- LMHC
- Mailing Street Address
- 4130 Ransom RD
- Mailing City
- Clarence
- Mailing State
- NY
- Mailing ZIP Code
- 14031-2330
- Mailing Country
- US
- Mailing Phone
- (716) 777-1720
- Practice Street Address
- 4130 Ransom RD
- Practice City
- Clarence
- Practice State
- NY
- Practice ZIP Code
- 14031-2330
- Practice Country
- US
- Practice Phone
- (716) 777-1720
- Enumeration Date
- July 13, 2023
- Last Updated
- July 13, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- July 13, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)