| Diane Giancaspro Lcsw Llc | |
|
28 S Franklin St New Buffalo MI 49117-1554 | |
| (269) 405-3644 | |
| Not Available |
| Full Name | Diane Giancaspro Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 28 S Franklin St, New Buffalo, Michigan |
| Authorized Official Name and Position | Diane Lorraine Giancaspro (CEO) |
| Authorized Official Contact | 2694053644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Giancaspro Lcsw Llc 28 S Franklin St New Buffalo MI 49117-1554 Ph: () - | Diane Giancaspro Lcsw Llc 28 S Franklin St New Buffalo MI 49117-1554 Ph: (269) 405-3644 |
| NPI Number | 1508692310 |
|---|---|
| Provider Enumeration Date | 09/09/2024 |
| Last Update Date | 09/09/2024 |
| Certification Date | 09/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508692310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |