Provider Demographics
NPI:1174120273
Name:GIULIANI, CORINNE A (LCSW)
Entity type:Individual
Prefix:
First Name:CORINNE
Middle Name:A
Last Name:GIULIANI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CORINNE
Other - Middle Name:
Other - Last Name:VON THADEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:417 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11762-1337
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:417 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA PARK
Practice Address - State:NY
Practice Address - Zip Code:11762-1337
Practice Address - Country:US
Practice Address - Phone:516-810-8999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-02
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical