Provider Demographics
NPI:1750477642
Name:ORLANDO, GINETTE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:GINETTE
Middle Name:
Last Name:ORLANDO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2930 ROCKAWAY AVE
Mailing Address - Street 2:APART,MENT 76
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-1835
Mailing Address - Country:US
Mailing Address - Phone:516-398-5595
Mailing Address - Fax:
Practice Address - Street 1:2930 ROCKAWAY AVE
Practice Address - Street 2:APART,MENT 76
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-1835
Practice Address - Country:US
Practice Address - Phone:516-398-5595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5446245101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health