National Provider Identifier
Penny Henrietta Calderazzo, LCSW
Penny Henrietta Calderazzo, LCSW is listed in the NPPES registry with a primary specialty of Social Worker in Ithaca, NY and a listed phone number of (607) 592-5746.
Profile Overview
- NPI
- 1649210527
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- June 07, 2006
- Last Updated
- July 21, 2015
Practice Location
- 516 Chestnut St
- Ithaca, NY 14850-3015
Phone: (607) 592-5746
Specialties
- Social Worker (104100000X)
- Social Worker (104100000X)
Full Record
- NPI
- 1649210527
- Entity Type
- Individual
- Last Name
- Calderazzo
- First Name
- Penny
- Middle Name
- Henrietta
- Credential
- LCSW
- Provider Other Last Name
- Calderazzo
- Provider Other First Name
- Henrietta
- Provider Other Middle Name
- Penny
- Provider Other Credential Text
- LCSW
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 516 Chestnut St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-3015
- Mailing Country
- US
- Mailing Phone
- (607) 592-5746
- Practice Street Address
- 516 Chestnut St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-3015
- Practice Country
- US
- Practice Phone
- (607) 592-5746
- Enumeration Date
- June 07, 2006
- Last Updated
- July 21, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X), Social Worker (104100000X)