Provider Demographics
NPI:1164582995
Name:ROVETTO-DEAN, GIOVANNA L (LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:GIOVANNA
Middle Name:L
Last Name:ROVETTO-DEAN
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:499 GLEN ST
Mailing Address - Street 2:
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-2205
Mailing Address - Country:US
Mailing Address - Phone:518-812-8822
Mailing Address - Fax:
Practice Address - Street 1:499 GLEN ST
Practice Address - Street 2:
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-2205
Practice Address - Country:US
Practice Address - Phone:518-812-8822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0484851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical