Provider Demographics
NPI:1568236594
Name:CASINO, GRETA
Entity Type:Individual
Prefix:
First Name:GRETA
Middle Name:
Last Name:CASINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:GRETA
Other - Middle Name:
Other - Last Name:RECINTO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:GRETA RECINTO
Mailing Address - Street 1:8820 SEPULVEDA EASTWAY APT 419
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-4876
Mailing Address - Country:US
Mailing Address - Phone:949-244-1790
Mailing Address - Fax:
Practice Address - Street 1:3407 W 6TH ST STE 700
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90020-2512
Practice Address - Country:US
Practice Address - Phone:949-244-1790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical