Provider Demographics
NPI:1447652532
Name:LOCANTO, SVIATLANA (LCSW)
Entity type:Individual
Prefix:
First Name:SVIATLANA
Middle Name:
Last Name:LOCANTO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1571 W 54TH ST APT 7
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16509-2679
Mailing Address - Country:US
Mailing Address - Phone:814-384-3137
Mailing Address - Fax:814-833-1530
Practice Address - Street 1:249 E 3RD ST
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:PA
Practice Address - Zip Code:16441-9753
Practice Address - Country:US
Practice Address - Phone:814-873-6331
Practice Address - Fax:814-833-1530
Is Sole Proprietor?:No
Enumeration Date:2014-09-19
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0204411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
12754489OtherCAQH