Provider Demographics
NPI:1437557212
Name:MARINO, HIMILCE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:HIMILCE
Middle Name:
Last Name:MARINO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:279 OAKVILLE AVE APT A27
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06708-1634
Mailing Address - Country:US
Mailing Address - Phone:203-819-1529
Mailing Address - Fax:
Practice Address - Street 1:279 OAKVILLE AVE
Practice Address - Street 2:A27
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06708-1637
Practice Address - Country:US
Practice Address - Phone:203-819-1529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-10
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker