Doctor Name: | MS. NINA JANE MARINO |
NPI Number: | 1023135589 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 003888 |
Business Practice Address: | 2 Olmstead Pl Norwalk, CT - 068551318 |
Business Phone Number: | 2036442832 |
Business Fax Number: | 2038559087 |
Mailing Address: | 100 Seaview Ave, 3h NORWALK |
State: | CT |
Postal Code: | 068552301 |
Phone Number: | 2036442832 |
Fax Number: | 2038559087 |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 06/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 003888 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |