Doctor Name: | DIANA CHAITOVITZ |
NPI Number: | 1003963224 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | SW3043 |
Business Practice Address: | 1101 W Hibiscus Blvd Suite 201 Melbourne, FL - 329012718 |
Business Phone Number: | 3217273833 |
Business Fax Number: | 3217226051 |
Mailing Address: | 1101 W Hibiscus Blvd, Suite 201 MELBOURNE |
State: | FL |
Postal Code: | 329012718 |
Phone Number: | 3217273833 |
Fax Number: | 3217226051 |
NPI Enumeration Date: | 01/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SW3043 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |