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NPI Code Detail

MEDICARE: CLOIE ELIZABETH MARIE LOGIUDICE LCSW-A

MEDICARE: CLOIE ELIZABETH MARIE LOGIUDICE LCSW-A
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 Worker099366NY
21041C0700XClinical Social WorkerP014162NC

General Provider Information

NPI Number : 1992329353
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLOIE ELIZABETH MARIE LOGIUDICE LCSW-A
Provider Business Mailing Address
First Line : 5901 WATERFORD BLUFF LN APT 1136
Second Line :
City : RALEIGH
State : NC
Zip : 27612-7802
Country : US
Telephone Number : 585-750-8290
Fax Number :
Provider Business Practice Location Address
First Line : 6539 ANTHONY DR STE A
Second Line :
City : VICTOR
State : NY
Zip : 14564-1441
Country : US
Telephone Number : 585-398-8835
Fax Number : 585-398-7376
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2020
Last Update Date : 03/11/2026

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Directions to “ CLOIE ELIZABETH MARIE LOGIUDICE LCSW-A” Practice Location

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