Provider Demographics
NPI:1851846141
Name:DEL GIACCO, ANDREA MARIE MAISANO (LCSW)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:MARIE MAISANO
Last Name:DEL GIACCO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:MARIE
Other - Last Name:MAISANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:20423 SR 7 STE F6
Mailing Address - Street 2:#181
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33498
Mailing Address - Country:US
Mailing Address - Phone:954-641-2407
Mailing Address - Fax:561-461-6231
Practice Address - Street 1:1101 NW 1ST ST
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33311-8905
Practice Address - Country:US
Practice Address - Phone:954-356-5041
Practice Address - Fax:954-356-5053
Is Sole Proprietor?:No
Enumeration Date:2016-08-17
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW13765101YM0800X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health