Basic Information
| Provider Information | |||||||||
| NPI: | 1902130479 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STILLITANO | ||||||||
| FirstName: | CHARMAINE | ||||||||
| MiddleName: | C | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MSW,LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1011 BINGHAM ST | ||||||||
| Address2: | FRANKLIN BUILDING 4TH FLOOR | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152031101 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4122355317 | ||||||||
| FaxNumber: | 4122355387 | ||||||||
| Practice Location | |||||||||
| Address1: | 1011 BINGHAM ST | ||||||||
| Address2: | FRANKLIN BUILDING 4TH FLOOR | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152031101 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4122355317 | ||||||||
| FaxNumber: | 4122355387 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/30/2009 | ||||||||
| LastUpdateDate: | 03/31/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/31/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | CW014257 | PA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.