Provider Demographics
NPI:1003013905
Name:DEPALMA-BRANDT, ANTONIA (LCSW)
Entity type:Individual
Prefix:MS
First Name:ANTONIA
Middle Name:
Last Name:DEPALMA-BRANDT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 BROOKRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573-3439
Mailing Address - Country:US
Mailing Address - Phone:718-570-3777
Mailing Address - Fax:
Practice Address - Street 1:17 BROOKRIDGE CT
Practice Address - Street 2:
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-3439
Practice Address - Country:US
Practice Address - Phone:718-570-3777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2025-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0731051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical