Provider Demographics
NPI:1225307259
Name:CIRINCIONE, AMY LABOVITZ (LCSW)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:LABOVITZ
Last Name:CIRINCIONE
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 1:524 5TH ST
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95501-1033
Mailing Address - Country:US
Mailing Address - Phone:707-267-5926
Mailing Address - Fax:
Practice Address - Street 1:524 5TH ST
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-1033
Practice Address - Country:US
Practice Address - Phone:707-267-5926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-20
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2700801041C0700X
OR43451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical