Doctor Name: | MRS. GINA MARIE CONSTANTINI |
NPI Number: | 1174674162 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | CW015803 |
Business Practice Address: | 241 Main St B Blakely, PA - 184471233 |
Business Phone Number: | 5709473163 |
Business Fax Number: | |
Mailing Address: | 241 Main St, B BLAKELY |
State: | PA |
Postal Code: | 184471233 |
Phone Number: | 5709473163 |
Fax Number: | |
NPI Enumeration Date: | 01/16/2007 |
NPI Last Update Date: | 02/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW015803 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |