MEDICARE: MS. MARIE BARBARA LOPRESTI MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	44SC014654	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	203109	OTHER	NJ	MHN
2	1P943310	OTHER	NJ	MAGELLAN
3	P2705892	OTHER	NJ	OXFORD

General Provider Information

NPI Number	:	1134189111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARIE BARBARA LOPRESTI MSW

Provider Business Mailing Address
First Line	:	7 BOWLING GREEN
Second Line	:
City	:	POINT PLEASANT BEACH
State	:	NJ
Zip	:	08742-5617
Country	:	US
Telephone Number	:	732-714-8673
Fax Number	:	732-714-8673

Provider Business Practice Location Address
First Line	:	302-304 HAWTHORNE AVE
Second Line	:	SUITE #8
City	:	POINT PLEASANT BEACH
State	:	NJ
Zip	:	08742-2539
Country	:	US
Telephone Number	:	732-330-9461
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	01/14/2010

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