Provider Demographics
NPI:1396565925
Name:MARANO, LEONARDO GIULIANO (LCSW)
Entity type:Individual
Prefix:MR
First Name:LEONARDO
Middle Name:GIULIANO
Last Name:MARANO
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-4723
Mailing Address - Country:US
Mailing Address - Phone:203-803-4170
Mailing Address - Fax:833-470-0750
Practice Address - Street 1:17 HIGH ST
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-4723
Practice Address - Country:US
Practice Address - Phone:203-803-4170
Practice Address - Fax:833-470-0750
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0106051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical