MEDICARE: MS. ALICE M. DIONISIO L.C.S.W.

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
1	1041C0700X	Clinical Social Worker	44SC04579300	NJ

General Provider Information

NPI Number	:	1083843858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ALICE M. DIONISIO L.C.S.W.

Provider Business Mailing Address
First Line	:	120 CHESTNUT STREET
Second Line	:
City	:	RIDGEWOOD
State	:	NJ
Zip	:	07450
Country	:	US
Telephone Number	:	201-444-3550
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 CHESTNUT STREET
Second Line	:
City	:	RIDGEWOOD
State	:	NJ
Zip	:	07450
Country	:	US
Telephone Number	:	201-444-3550
Fax Number	:	201-652-1613

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2009
Last Update Date	:	01/18/2026

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