Doctor Name: | MR. CHARLES DAVID GIARDINA |
NPI Number: | 1407125859 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | PO36550 |
Business Practice Address: | 52 Mountain Ave Highland Falls, NY - 109281303 |
Business Phone Number: | 8454464914 |
Business Fax Number: | 8454462123 |
Mailing Address: | 52 Mountain Ave, HIGHLAND FALLS |
State: | NY |
Postal Code: | 109281303 |
Phone Number: | 8454464914 |
Fax Number: | 8454462123 |
NPI Enumeration Date: | 12/14/2011 |
NPI Last Update Date: | 12/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | PO36550 |
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 |