Provider Demographics
NPI:1710293683
Name:CIOCCI, SIERA SHERIAR (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:SIERA
Middle Name:SHERIAR
Last Name:CIOCCI
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 N HASSEL ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-2406
Mailing Address - Country:US
Mailing Address - Phone:480-760-5775
Mailing Address - Fax:
Practice Address - Street 1:209 MILLSTONE DR STE B
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-8776
Practice Address - Country:US
Practice Address - Phone:919-637-4112
Practice Address - Fax:919-245-0147
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-29
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0075691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical