National Provider Identifier
Lauren Christine Tantillo, LCSW
Lauren Christine Tantillo, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 402-3207.
Profile Overview
- NPI
- 1033781703
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- July 13, 2021
- Last Updated
- February 07, 2024
Practice Location
- 2510 Chili Ave Ste 6
- Rochester, NY 14624-3334
Phone: (585) 402-3207
Mailing Address
- 2510 Chili Ave Ste 5
- Rochester, NY 14624-3334
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1033781703
- Entity Type
- Individual
- Last Name
- Tantillo
- First Name
- Lauren
- Middle Name
- Christine
- Credential
- LCSW
- Mailing Street Address
- 2510 Chili Ave Ste 5
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14624-3334
- Mailing Country
- US
- Mailing Phone
- (585) 402-3207
- Practice Street Address
- 2510 Chili Ave Ste 6
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14624-3334
- Practice Country
- US
- Practice Phone
- (585) 402-3207
- Enumeration Date
- July 13, 2021
- Last Updated
- February 07, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- February 07, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)