Active NPIIndividual provider

Edward Petrarca, LCSW

Social Worker, Clinical in Montclair, New Jersey

NPI Number1003986787
Practice location
1 Bay Ave, Mountainside Hospital, Montclair, NJ 07042-4837
Fax
973-680-7715
Last updated
July 10, 2007

Edward Petrarca is a Social Worker, Clinical based in Montclair, NJ. Edward Petrarca practices in Montclair, NJ and has the professional credentials of LCSW. The NPI Number for Edward Petrarca is 1003986787 and holds a License No. 44SC00016500 (NJ). The current practice location address for Edward Petrarca is 1 Bay Ave, Mountainside Hospital, Montclair, NJ 07042-4837 and can be reached out via phone at 973-429-6813 and via fax at 973-680-7715.

Provider Profile Details

NPI Number
1003986787
Provider Name
Edward Petrarca
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
1 Bay Ave, Mountainside Hospital, Montclair, NJ 07042-4837
Phone Number
973-429-6813
Fax Number
973-680-7715
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
November 9, 2006
Last Update Date
July 10, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Bay Ave
Mountainside Hospital
Montclair, NJ 07042-4837
Zip
07042-4837
Phone Number
973-429-6813
Fax Number
973-680-7715
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
1 Bay Ave
Mountainside Hospital
Montclair, NJ 07042-4837
City
Montclair
State
NJ
Zip
07042-4837
Phone Number
973-429-6000
Fax Number
973-680-7715

License Information

License Number
44SC00016500
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Edward Petrarca, LCSW?

The NPI number of Edward Petrarca, LCSW is 1003986787. It was assigned on November 9, 2006 and is currently active in the NPPES registry.

What is the specialty of Edward Petrarca, LCSW?

Edward Petrarca, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC00016500.

Where does Edward Petrarca, LCSW practice?

The practice location is 1 Bay Ave, Mountainside Hospital, Montclair, NJ 07042-4837. The office can be reached at 973-429-6813 (phone) or 973-680-7715 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003986787 directly on the NPPES registry website.

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