Provider Demographics
NPI:1831451087
Name:LAPRESTI, GIBBI JANE (LMSW)
Entity type:Individual
Prefix:MRS
First Name:GIBBI
Middle Name:JANE
Last Name:LAPRESTI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:361 NORTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT JAMES
Mailing Address - State:NY
Mailing Address - Zip Code:11780-1715
Mailing Address - Country:US
Mailing Address - Phone:631-584-3532
Mailing Address - Fax:
Practice Address - Street 1:361 NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:SAINT JAMES
Practice Address - State:NY
Practice Address - Zip Code:11780-1715
Practice Address - Country:US
Practice Address - Phone:631-584-3532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-13
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY062623-1171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator