STEPHEN PAUL DUTILLE LMSW
NPI 1861513657
Social Worker - Clinical in Elmhurst, NY

Q: What is Stephen Dutille's NPI number?

The NPI number for Stephen Dutille is 1861513657. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Q: What is Stephen Dutille's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Dutille was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 02, 2007

80TH ST & 41ST AVE, ELMHURST, NY 11373(718) 334-3900(718) 334-5958 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Stephen Paul Dutille Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHEN PAUL DUTILLE LMSW (NPI 1861513657) is an individual clinical provider in Elmhurst, New York, licensed in New York (034055) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1861513657

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameSTEPHEN PAUL DUTILLECredential: LMSW

Location Address80TH ST & 41ST AVEElmhurst, NY 11373

Mailing Address7901 Broadway, Managed Care D1-01Elmhurst, NY 11373-1329 · (718) 334-1921 · Fax (718) 334-3432

Phone(718) 334-3900

Fax(718) 334-5958

Sole ProprietorNo

Enumeration DateApril 2, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1861513657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NY · 034055

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

80TH ST & 41ST AVE, Elmhurst, NY 11373

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Other Identifiers 2

Medicaid00246075NY

Medicare ID-Type Unspecified0033S128NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARLOTA GABRIEL ANTONIO NP

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