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NPI Code Detail

MEDICARE: SABRINA PRONKO LSW

MEDICARE: SABRINA PRONKO LSW
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
1104100000XSocial Worker44SL06713100NJ

General Provider Information

NPI Number : 1760320949
Entity Type Code : Individual
Provider Name (Legal Business Name) : SABRINA PRONKO LSW
Provider Business Mailing Address
First Line : 56 MOONEY RD
Second Line :
City : LEDGEWOOD
State : NJ
Zip : 07852-9741
Country : US
Telephone Number : 973-738-0921
Fax Number :
Provider Business Practice Location Address
First Line : 95 W MAIN ST STE 18
Second Line :
City : CHESTER
State : NJ
Zip : 07930-2487
Country : US
Telephone Number : 973-738-0921
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “ SABRINA PRONKO LSW” Practice Location

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