Provider Demographics
NPI:1679767487
Name:GIONET, DEBRA MICHELLE (LCSW 21514)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:MICHELLE
Last Name:GIONET
Suffix:
Gender:F
Credentials:LCSW 21514
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:MICHELLE
Other - Last Name:DELIZONNA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW 21514
Mailing Address - Street 1:3880 S BASCOM AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-2674
Mailing Address - Country:US
Mailing Address - Phone:408-450-1307
Mailing Address - Fax:408-371-9193
Practice Address - Street 1:3880 S BASCOM AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-2674
Practice Address - Country:US
Practice Address - Phone:408-450-1307
Practice Address - Fax:408-371-9193
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-05
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA215141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical