Provider Demographics
NPI:1902606890
Name:SAINT JUSTE, GERDINE (LCSW)
Entity type:Individual
Prefix:
First Name:GERDINE
Middle Name:
Last Name:SAINT JUSTE
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 MONROE TPKE STE 462
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:CT
Mailing Address - Zip Code:06468-2354
Mailing Address - Country:US
Mailing Address - Phone:203-864-7927
Mailing Address - Fax:
Practice Address - Street 1:500 MONROE TPKE STE 462
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:CT
Practice Address - Zip Code:06468-2354
Practice Address - Country:US
Practice Address - Phone:203-864-7927
Practice Address - Fax:203-864-7927
Is Sole Proprietor?:No
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0088761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical