Provider Demographics
NPI:1902137854
Name:GIGLIOTTI, MARIA CHRISTA (LCSW -R)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:CHRISTA
Last Name:GIGLIOTTI
Suffix:
Gender:F
Credentials:LCSW -R
Other - Prefix:MS
Other - First Name:MARIA
Other - Middle Name:CHRISTA
Other - Last Name:GIGLIOTTL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12 NORTH PARK STREET
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SENECA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:13148
Mailing Address - Country:US
Mailing Address - Phone:315-257-0036
Mailing Address - Fax:
Practice Address - Street 1:12 NORTH PARK STREET
Practice Address - Street 2:SUITE 101
Practice Address - City:SENECA FALLS
Practice Address - State:NY
Practice Address - Zip Code:13148
Practice Address - Country:US
Practice Address - Phone:315-257-0036
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-15
Last Update Date:2018-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY73 0767651041C0700X
NY0767651041C0700X
NY076765-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical