Provider Demographics
NPI:1174836639
Name:CARINI GIORDANO, MARY ANN (CSW)
Entity Type:Individual
Prefix:MRS
First Name:MARY ANN
Middle Name:
Last Name:CARINI GIORDANO
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 PARKVIEW AVE.
Mailing Address - Street 2:APT. 2B
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708
Mailing Address - Country:US
Mailing Address - Phone:914-961-1940
Mailing Address - Fax:
Practice Address - Street 1:25 PARKVIEW AVE
Practice Address - Street 2:APT. 2B
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-2952
Practice Address - Country:US
Practice Address - Phone:914-961-1940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0309571R104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker