Gina Marie Fattibene, LCSW
Social Worker, Clinical in Riverhead, NY. Individual provider (NPI-1).
NPI number1790836070
StatusActive
Last updated in NPPESAug 6, 2009
Details
- NPI
- 1790836070
- Entity type
- Individual (NPI-1)
- Name
- Gina Marie Fattibene
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 15, 2007
- Last updated
- Aug 6, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 0719131 | NY | Yes |
Practice location
1380 Roanoke AveSuite 201
Riverhead, NY 11901-2098
Phone 631-369-4418 · Fax 631-369-4421
Mailing address
98 Woodlawn AveSaint James, NY 11780-2506
Phone 631-369-4418 · Fax 631-369-4421
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All 64 Clinical Social Worker providers in Riverhead · All 1,248 providers in Riverhead
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