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NPI Code Detail

MEDICARE: ANGELA GRACEFFO LCSW

MEDICARE: ANGELA GRACEFFO 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 Worker44SC05112400NJ

General Provider Information

NPI Number : 1003253626
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA GRACEFFO LCSW
Provider Business Mailing Address
First Line : 82 DUMONT AVE
Second Line :
City : CLIFTON
State : NJ
Zip : 07013-1009
Country : US
Telephone Number : 862-262-9619
Fax Number :
Provider Business Practice Location Address
First Line : 53 ORCHARD ST
Second Line :
City : CLIFTON
State : NJ
Zip : 07013-1832
Country : US
Telephone Number : 973-773-7600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2013
Last Update Date : 05/23/2013

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Directions to “ ANGELA GRACEFFO LCSW” Practice Location

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