Provider Demographics
NPI:1093725319
Name:SIEME-GIORDANO, LAURA LEE (LICSW)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:LEE
Last Name:SIEME-GIORDANO
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-4226
Mailing Address - Country:US
Mailing Address - Phone:518-886-5601
Mailing Address - Fax:518-886-5805
Practice Address - Street 1:24 HAMILTON ST
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866
Practice Address - Country:US
Practice Address - Phone:518-886-5601
Practice Address - Fax:518-886-5805
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY085181104100000X
VT089-0000993104100000X, 1041S0200X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
59983OtherBLUE CROSS
2226364OtherCIGNA
360767OtherMANAGED HEALTH NET
VT1010735Medicaid
2226364OtherCIGNA
59983OtherBLUE CROSS