Provider Demographics
NPI:1003941980
Name:CIABATTONI, LISSETTE (LCSW)
Entity Type:Individual
Prefix:
First Name:LISSETTE
Middle Name:
Last Name:CIABATTONI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:LISSETTE
Other - Middle Name:
Other - Last Name:ANDREWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:7520 E CYPRESSHEAD DR
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33067-1618
Mailing Address - Country:US
Mailing Address - Phone:305-989-9323
Mailing Address - Fax:305-721-1512
Practice Address - Street 1:7520 E CYPRESSHEAD DR
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33067-1618
Practice Address - Country:US
Practice Address - Phone:305-989-9323
Practice Address - Fax:305-721-1512
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW83251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical