Provider Demographics
NPI:1457748972
Name:PULCINI, TATIANNA LUCIA KELAITA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:TATIANNA
Middle Name:LUCIA KELAITA
Last Name:PULCINI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:TATIANNA
Other - Middle Name:LUCIA
Other - Last Name:KELAITA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:9221 NW 11TH PL
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-5586
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1601 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-1197
Practice Address - Country:US
Practice Address - Phone:352-384-3560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-22
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical