Provider Demographics
NPI:1104065333
Name:VARGO, CHRISTINE E (LMSW)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:E
Last Name:VARGO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 E 17TH ST
Mailing Address - Street 2:APT. 710
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-5774
Mailing Address - Country:US
Mailing Address - Phone:347-563-0082
Mailing Address - Fax:
Practice Address - Street 1:400 E 17TH ST
Practice Address - Street 2:APT. 710
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-5774
Practice Address - Country:US
Practice Address - Phone:347-563-0082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-11
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0785211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical