Provider Demographics
NPI:1902130479
Name:STILLITANO, CHARMAINE C (MSW,LCSW)
Entity Type:Individual
Prefix:MS
First Name:CHARMAINE
Middle Name:C
Last Name:STILLITANO
Suffix:
Gender:F
Credentials:MSW,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 BINGHAM ST
Mailing Address - Street 2:FRANKLIN BUILDING 4TH FLOOR
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-1101
Mailing Address - Country:US
Mailing Address - Phone:412-235-5317
Mailing Address - Fax:412-235-5387
Practice Address - Street 1:1011 BINGHAM ST
Practice Address - Street 2:FRANKLIN BUILDING 4TH FLOOR
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-1101
Practice Address - Country:US
Practice Address - Phone:412-235-5317
Practice Address - Fax:412-235-5387
Is Sole Proprietor?:No
Enumeration Date:2009-09-30
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0142571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical