Provider Demographics
NPI:1952943847
Name:TROMBINO, GIANNA (LCSW)
Entity Type:Individual
Prefix:
First Name:GIANNA
Middle Name:
Last Name:TROMBINO
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 1:1440 MCCLURE RD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60505-3887
Mailing Address - Country:US
Mailing Address - Phone:631-300-5936
Mailing Address - Fax:
Practice Address - Street 1:1440 MCCLURE RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60505-3887
Practice Address - Country:US
Practice Address - Phone:631-300-5936
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-11
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0203751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical