=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992686992
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ARIANNA MOREA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/08/2025
-----------------------------------------------------
Last Update Date | 09/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 263 MAIN ST
-----------------------------------------------------
City | WHITEHOUSE STATION
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08889-3737
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-239-1836
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 94 E SPRING ST
-----------------------------------------------------
City | SOMERVILLE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08876-2011
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | 44SL07323600
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------