Provider Demographics
NPI:1467844035
Name:CALIENDO, CHRISANN MARIE (MA)
Entity Type:Individual
Prefix:MRS
First Name:CHRISANN
Middle Name:MARIE
Last Name:CALIENDO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:CHRISANN
Other - Middle Name:MARIE
Other - Last Name:FLANYAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2025 WASHINGTON ST.
Mailing Address - Street 2:
Mailing Address - City:WAUKEGAN
Mailing Address - State:IL
Mailing Address - Zip Code:60085-5131
Mailing Address - Country:US
Mailing Address - Phone:847-360-1020
Mailing Address - Fax:847-360-1065
Practice Address - Street 1:2025 WASHINGTON ST.
Practice Address - Street 2:
Practice Address - City:WAUKEGAN
Practice Address - State:IL
Practice Address - Zip Code:60085-5131
Practice Address - Country:US
Practice Address - Phone:847-360-1020
Practice Address - Fax:847-360-1065
Is Sole Proprietor?:No
Enumeration Date:2015-02-19
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker