Provider Demographics
NPI:1629462213
Name:SAWIN, MIRELLA ALESSANDRA (LCSW)
Entity Type:Individual
Prefix:
First Name:MIRELLA
Middle Name:ALESSANDRA
Last Name:SAWIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MIRELLA
Other - Middle Name:ALESSANDRA
Other - Last Name:DEL PINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2111 E MICHIGAN ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-4983
Mailing Address - Country:US
Mailing Address - Phone:407-254-9415
Mailing Address - Fax:
Practice Address - Street 1:2111 E MICHIGAN ST
Practice Address - Street 2:SUITE 210
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-4983
Practice Address - Country:US
Practice Address - Phone:407-254-9415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-23
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW123091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical