Doctor Name: | MS. CELESTE GNECO-VASQUEZ |
NPI Number: | 1073813325 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSWR |
License Number: | 31731 |
Business Practice Address: | 700 Osborne Avenue Riverhead Central School District Riverhead, NY - 11901 |
Business Phone Number: | 6313696701 |
Business Fax Number: | |
Mailing Address: | 700 Osborne Avenue, Riverhead School Districk RIVERHEAD |
State: | NY |
Postal Code: | 11901 |
Phone Number: | 6313696701 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2010 |
NPI Last Update Date: | 11/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 31731 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |