Provider Demographics
NPI:1568640704
Name:SCHMALISCH, M. CRISTINA SORRENTINO (PHD MSW)
Entity Type:Individual
Prefix:DR
First Name:M. CRISTINA
Middle Name:SORRENTINO
Last Name:SCHMALISCH
Suffix:
Gender:F
Credentials:PHD MSW
Other - Prefix:DR
Other - First Name:CRISTINA
Other - Middle Name:M
Other - Last Name:SORRENTINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25 VIRGINIA ST
Mailing Address - Street 2:UNIT 2
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02145-3910
Mailing Address - Country:US
Mailing Address - Phone:617-899-6841
Mailing Address - Fax:
Practice Address - Street 1:777 CONCORD AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-1056
Practice Address - Country:US
Practice Address - Phone:617-899-6841
Practice Address - Fax:617-876-9011
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-08
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1150001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical