Provider Demographics
NPI:1861078875
Name:CIOFFI, KATHY
Entity type:Individual
Prefix:
First Name:KATHY
Middle Name:
Last Name:CIOFFI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2950 WINDRIDGE OAKS DR
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-1665
Mailing Address - Country:US
Mailing Address - Phone:727-744-4511
Mailing Address - Fax:
Practice Address - Street 1:2950 WINDRIDGE OAKS DR
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-1665
Practice Address - Country:US
Practice Address - Phone:727-744-4511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-20
Last Update Date:2021-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker