Provider Demographics
NPI:1366190035
Name:CHELSIE NICOLE GIAMBRONE, LICENSED CLINICAL SOCIAL WORKER, PC
Entity type:Organization
Organization Name:CHELSIE NICOLE GIAMBRONE, LICENSED CLINICAL SOCIAL WORKER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHELSIE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:GIAMBRONE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:760-385-8395
Mailing Address - Street 1:2305 S MELROSE DR STE 111
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92081-8789
Mailing Address - Country:US
Mailing Address - Phone:760-385-8395
Mailing Address - Fax:760-820-5061
Practice Address - Street 1:2305 S MELROSE DR STE 111
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92081-8789
Practice Address - Country:US
Practice Address - Phone:760-385-8395
Practice Address - Fax:760-820-5061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-12
Last Update Date:2022-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty