MEDICARE: TERESA CAROL MCARTHUR 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
1	1041C0700X	Clinical Social Worker	SW7533	FL

General Provider Information

NPI Number	:	1235131327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERESA CAROL MCARTHUR LCSW

Provider Business Mailing Address
First Line	:	926 BELLEVUE AVE
Second Line	:
City	:	TRENTON
State	:	NJ
Zip	:	08618-4450
Country	:	US
Telephone Number	:	609-902-1237
Fax Number	:

Provider Business Practice Location Address
First Line	:	926 BELLEVUE AVE
Second Line	:
City	:	TRENTON
State	:	NJ
Zip	:	08618-4450
Country	:	US
Telephone Number	:	609-902-1237
Fax Number	:

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

Provider Enumeration Date	:	06/02/2005
Last Update Date	:	12/29/2013

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