Maria Cillo, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12583 Issued in NC

Practice address

1911 S 17TH St Ste 100
Wilmington, NC 28401-6663

Phone

(910) 313-2111

NPI assigned

Sep 15, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1528516804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 VALLEY STREAM DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197022934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 S 17TH ST STE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016663",
            "telephone_number": "910-313-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CILLO",
        "first_name": "MARIA",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-15",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DE",
            "license": "O1-0001549",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "12583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Church, MSW, LCSWA
• Jeffrey Scott Church, M.D.
• Celeste M Cianciulli, LCSW
• Sonya Jean Ciancutti, LCSW
• Dominic Ciccocioppo
• Emily Tinley Cipalla, MA CCC-SLP
• Circle of Courage of Brunswick Co., LLC
• Circle of Courage Ultimate Support Network, LLC
• Serban Gabriel Cismarescu, DMD
• Kylie Citty

• Speech-Language Pathologist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.