Healthcare Provider Details

I. General information

NPI: 1699686238
Provider Name (Legal Business Name): MARIA SQUICCIARINI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 HADLEY AVE STE 3
TOMS RIVER NJ
08753-7577
US

IV. Provider business mailing address

20 HADLEY AVE
TOMS RIVER NJ
08753-7577
US

V. Phone/Fax

Practice location:
  • Phone: 848-251-2462
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC06684400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: