Provider Demographics
NPI:1396400669
Name:CILENTI, KRISTI DINA (LCSW)
Entity type:Individual
Prefix:
First Name:KRISTI
Middle Name:DINA
Last Name:CILENTI
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 1:21 FOX HEDGE RD
Mailing Address - Street 2:
Mailing Address - City:COLTS NECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07722-1247
Mailing Address - Country:US
Mailing Address - Phone:732-620-9077
Mailing Address - Fax:
Practice Address - Street 1:21 FOX HEDGE RD
Practice Address - Street 2:
Practice Address - City:COLTS NECK
Practice Address - State:NJ
Practice Address - Zip Code:07722-1247
Practice Address - Country:US
Practice Address - Phone:732-620-9077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-02
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC059449001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical