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NPI Code Detail

MEDICARE: PRIYA BACCHUS SOOKBIR LCSW

MEDICARE:   PRIYA BACCHUS SOOKBIR  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 Worker44SC05777600NJ

General Provider Information

NPI Number : 1992276141
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRIYA BACCHUS SOOKBIR LCSW
Provider Business Mailing Address
First Line : 9 LAFAYETTE PL
Second Line :
City : DENVILLE
State : NJ
Zip : 07834-1730
Country : US
Telephone Number : 201-562-9886
Fax Number :
Provider Business Practice Location Address
First Line : 9 LAFAYETTE PL
Second Line :
City : DENVILLE
State : NJ
Zip : 07834-1730
Country : US
Telephone Number : 201-562-9886
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2018
Last Update Date : 04/16/2026

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Directions to “ PRIYA BACCHUS SOOKBIR LCSW” Practice Location

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