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NPI Code Detail

MEDICARE: MS. LOUISE M. PICARONI LCSW

MEDICARE: MS. LOUISE M. PICARONI 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 Worker44SC05234300NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1222178319ZOTHERNJHORIZON BCBS NJ

General Provider Information

NPI Number : 1649329210
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LOUISE M. PICARONI LCSW
Provider Business Mailing Address
First Line : 17 DANIELE DR
Second Line :
City : OCEAN
State : NJ
Zip : 07712-7910
Country : US
Telephone Number : 732-546-1291
Fax Number :
Provider Business Practice Location Address
First Line : 149 W MAIN ST
Second Line :
City : FREEHOLD
State : NJ
Zip : 07728-2051
Country : US
Telephone Number : 732-780-9898
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2007
Last Update Date : 04/30/2020

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