Provider Demographics
NPI:1720227135
Name:CHICCO, CLAUDIA CATHERINE
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:CATHERINE
Last Name:CHICCO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:CATHERINE
Other - Last Name:REYNOLDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:200 KNUTH RD STE 232
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-4637
Mailing Address - Country:US
Mailing Address - Phone:561-714-8579
Mailing Address - Fax:
Practice Address - Street 1:200 KNUTH RD STE 232
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-4637
Practice Address - Country:US
Practice Address - Phone:561-714-8578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-09
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW56111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical