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NPI Code Detail

MEDICARE: MS. IRENE PAONI LCSW

MEDICARE:  MS. IRENE  PAONI  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 Worker44SC05276300NJ
2101YA0400XAddiction (Substance Use Disorder) Counselor37LC00147000NJ

General Provider Information

NPI Number : 1154460772
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. IRENE PAONI LCSW
Provider Business Mailing Address
First Line : 15 SILVERSMITH CT
Second Line :
City : HOWELL
State : NJ
Zip : 07731-1666
Country : US
Telephone Number : 732-415-8764
Fax Number :
Provider Business Practice Location Address
First Line : 166 MAIN ST
Second Line :
City : MATAWAN
State : NJ
Zip : 07747-3104
Country : US
Telephone Number : 732-290-9040
Fax Number : 732-566-0433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2007
Last Update Date : 08/16/2012

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Directions to “ MS. IRENE PAONI LCSW” Practice Location

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