Healthcare Provider Details

I. General information

NPI: 1942356191
Provider Name (Legal Business Name): HELEN PAULUCCI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2007
Last Update Date: 11/05/2024
Certification Date: 11/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 GEORGE ST
NEW BRUNSWICK NJ
08901-2020
US

IV. Provider business mailing address

5 GLENDALE DR
MANALAPAN NJ
07726-3218
US

V. Phone/Fax

Practice location:
  • Phone: 732-235-6800
  • Fax:
Mailing address:
  • Phone: 917-364-3526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number37LC00315800
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberR074293
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05815200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: