Provider Demographics
NPI:1548307960
Name:GIANINO, TANIA GELORMINI (MSW, LCSW, LICSW)
Entity type:Individual
Prefix:MS
First Name:TANIA
Middle Name:GELORMINI
Last Name:GIANINO
Suffix:
Gender:F
Credentials:MSW, LCSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 DUNVEGAN RD
Mailing Address - Street 2:
Mailing Address - City:TEWKSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01876-1362
Mailing Address - Country:US
Mailing Address - Phone:781-724-7828
Mailing Address - Fax:
Practice Address - Street 1:70 DUNVEGAN RD
Practice Address - Street 2:
Practice Address - City:TEWKSBURY
Practice Address - State:MA
Practice Address - Zip Code:01876-1362
Practice Address - Country:US
Practice Address - Phone:781-724-7828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2018-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1147451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical