Doctor Name: | MRS. CHRISTINE ANNE RICCIO |
NPI Number: | 1174892137 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW-R |
License Number: | RO33616-1 |
Business Practice Address: | 55 Brandt Pl Amsterdam, NY - 120103200 |
Business Phone Number: | 5188433716 |
Business Fax Number: | 5188436287 |
Mailing Address: | 11 Liberty St, AMSTERDAM |
State: | NY |
Postal Code: | 120104601 |
Phone Number: | 5188433180 |
Fax Number: | 5188420012 |
NPI Enumeration Date: | 12/21/2011 |
NPI Last Update Date: | 12/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | RO33616-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |