Provider Demographics
NPI:1093319683
Name:GIULIANO, MARISSA ELIZABETH (LSW)
Entity Type:Individual
Prefix:MRS
First Name:MARISSA
Middle Name:ELIZABETH
Last Name:GIULIANO
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 EAGLE RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:WEST CREEK
Mailing Address - State:NJ
Mailing Address - Zip Code:08092-3234
Mailing Address - Country:US
Mailing Address - Phone:609-314-1481
Mailing Address - Fax:
Practice Address - Street 1:687 ROUTE 9
Practice Address - Street 2:
Practice Address - City:BAYVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08721-2548
Practice Address - Country:US
Practice Address - Phone:732-269-4849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL065194001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical