Provider Demographics
NPI:1659703445
Name:CENTINARO, THOMAS C JR (MSW)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:C
Last Name:CENTINARO
Suffix:JR
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6416 MELALEUCA LN
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-3807
Mailing Address - Country:US
Mailing Address - Phone:561-649-0877
Mailing Address - Fax:561-649-8408
Practice Address - Street 1:6416 MELALEUCA LN
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-3807
Practice Address - Country:US
Practice Address - Phone:561-649-0877
Practice Address - Fax:561-649-8408
Is Sole Proprietor?:No
Enumeration Date:2013-08-02
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW73111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical