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NPI Code Detail

MEDICARE: MRS. BETH E TECCHIO LCSW

MEDICARE: MRS. BETH E TECCHIO LCSW
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
11041C0700XClinical Social Worker44SC06280100NJ

General Provider Information

NPI Number : 1831962729
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BETH E TECCHIO LCSW
Provider Business Mailing Address
First Line : 18 INDIAN SPRING TRL
Second Line :
City : DENVILLE
State : NJ
Zip : 07834-2036
Country : US
Telephone Number : 201-519-9177
Fax Number :
Provider Business Practice Location Address
First Line : 18 INDIAN SPRING TRL
Second Line :
City : DENVILLE
State : NJ
Zip : 07834-2036
Country : US
Telephone Number : 201-519-9177
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2023
Last Update Date : 11/01/2023

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