MEDICARE: MRS. BETH TROSO MSW, 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	P063778-1	NY
2	1041C0700X	Clinical Social Worker	44SC05374100	NJ

General Provider Information

NPI Number	:	1730336116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BETH TROSO MSW, LCSW

Provider Business Mailing Address
First Line	:	70 HARRISON BROOK DR
Second Line	:
City	:	BASKING RIDGE
State	:	NJ
Zip	:	07920-2415
Country	:	US
Telephone Number	:	917-691-6026
Fax Number	:

Provider Business Practice Location Address
First Line	:	368 MAIN ST
Second Line	:
City	:	CHATHAM
State	:	NJ
Zip	:	07928-2112
Country	:	US
Telephone Number	:	917-691-6026
Fax Number	:

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

Provider Enumeration Date	:	08/27/2008
Last Update Date	:	09/08/2021

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