Provider Demographics
NPI:1992084842
Name:SGARAMELLA, CHRISTINA MARIA (LCSW, LCADC)
Entity type:Individual
Prefix:MISS
First Name:CHRISTINA
Middle Name:MARIA
Last Name:SGARAMELLA
Suffix:
Gender:F
Credentials:LCSW, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 MITCHELL RD APT N4
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-2386
Mailing Address - Country:US
Mailing Address - Phone:973-862-3776
Mailing Address - Fax:
Practice Address - Street 1:62 MITCHELL RD APT N4
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-2386
Practice Address - Country:US
Practice Address - Phone:973-862-3776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-10
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC056572001041C0700X
NJ37LC00203200101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)