Provider Demographics
NPI:1255666202
Name:SORIANO, CHRISTINE ELISE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:ELISE
Last Name:SORIANO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:ELISE
Other - Last Name:EMANUELE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:477 PALISADE AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07307-1526
Mailing Address - Country:US
Mailing Address - Phone:201-341-1356
Mailing Address - Fax:
Practice Address - Street 1:306 WASHINGTON ST STE 303
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030
Practice Address - Country:US
Practice Address - Phone:201-341-1356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-08
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0791731041C0700X
NJ44SC057753001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical