Provider Demographics
NPI:1972216091
Name:SANTORELLI, CHRISTINA (LICSW)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:SANTORELLI
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 BURNHAM RD
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-2008
Mailing Address - Country:US
Mailing Address - Phone:978-994-2223
Mailing Address - Fax:
Practice Address - Street 1:41 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-4617
Practice Address - Country:US
Practice Address - Phone:978-994-2223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-04
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
MA1273551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical