Provider Demographics
NPI:1588243810
Name:DEL NUNZIO, JUSTINE OLIVIA (LMSW)
Entity type:Individual
Prefix:
First Name:JUSTINE
Middle Name:OLIVIA
Last Name:DEL NUNZIO
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 1:316 W COLLEGE TER APT 2
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-4922
Mailing Address - Country:US
Mailing Address - Phone:410-259-2299
Mailing Address - Fax:
Practice Address - Street 1:810 TOLL HOUSE AVE
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4519
Practice Address - Country:US
Practice Address - Phone:301-580-0008
Practice Address - Fax:240-668-3216
Is Sole Proprietor?:No
Enumeration Date:2021-04-05
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD24521104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker