Provider Demographics
NPI:1083655831
Name:GIANGIULIO, PATRICIA RUTH (LCSW)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:RUTH
Last Name:GIANGIULIO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 RAINIER RD
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-1822
Mailing Address - Country:US
Mailing Address - Phone:610-941-2718
Mailing Address - Fax:610-971-0144
Practice Address - Street 1:987 OLD EAGLE SCHOOL RD
Practice Address - Street 2:SUITE 719
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-1708
Practice Address - Country:US
Practice Address - Phone:610-941-7017
Practice Address - Fax:610-971-0144
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-10
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACWO134161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical