Provider Demographics
NPI:1679883623
Name:MARANO, CHRISTA MARIE (LCSW-R)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTA
Middle Name:MARIE
Last Name:MARANO
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MOUNT SINAI HIGH SCHOOL-SCHOOL SOCIAL WORKER
Mailing Address - Street 2:NORTH COUNTRY ROAD
Mailing Address - City:MOUNT SINAI
Mailing Address - State:NY
Mailing Address - Zip Code:11766
Mailing Address - Country:US
Mailing Address - Phone:631-870-2842
Mailing Address - Fax:631-473-2674
Practice Address - Street 1:MOUNT SINAI HIGH SCHOOL-SCHOOL SOCIAL WORKER
Practice Address - Street 2:NORTH COUNTRY ROAD
Practice Address - City:MOUNT SINAI
Practice Address - State:NY
Practice Address - Zip Code:11766
Practice Address - Country:US
Practice Address - Phone:631-870-2842
Practice Address - Fax:631-473-2674
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-08
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01379982Medicaid