Active NPIIndividual providerSole proprietor

Pedro Vicente, MSW

Social Worker in Bloomfield, New Jersey

NPI Number1114219730
Practice location
63 Grove St, Bloomfield, NJ 07003-5641
Fax
—
Last updated
February 7, 2022

Pedro Vicente is a Social Worker based in Bloomfield, NJ. Pedro Vicente practices in Bloomfield, NJ and has the professional credentials of MSW. The NPI Number for Pedro Vicente is 1114219730 and holds a License No. 44SW05327400 (NJ). The current practice location address for Pedro Vicente is 63 Grove St, Bloomfield, NJ 07003-5641 and can be reached out via phone at 973-743-2919.

Provider Profile Details

NPI Number
1114219730
Provider Name
Pedro Vicente
Credential
MSW
Provider Entity Type
Individual
Gender
Male
Address
63 Grove St, Bloomfield, NJ 07003-5641
Phone Number
973-743-2919
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
May 16, 2011
Last Update Date
February 7, 2022
Certification Date
February 7, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
63 Grove St
Bloomfield, NJ 07003-5641
Zip
07003-5641
Phone Number
973-743-2919
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
45 Fairmount Ter # 1
East Orange, NJ 07018-2356
City
East Orange
State
NJ
Zip
07018-2356
Phone Number
973-652-8259

License Information

Taxonomy (1)
Social Worker · 104100000X
License Number (2)
44SW05327400
License State (2)
NJ
Taxonomy (2)
Social Worker, Clinical · 1041C0700X
License Number (3)
44SW05327400
License State (3)
NJ
Taxonomy (3)
Social Worker · 104100000X · 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 Pedro Vicente, MSW?

The NPI number of Pedro Vicente, MSW is 1114219730. It was assigned on May 16, 2011 and is currently active in the NPPES registry.

What is the specialty of Pedro Vicente, MSW?

Pedro Vicente, MSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NJ under license number 44SW05327400.

Where does Pedro Vicente, MSW practice?

The practice location is 63 Grove St, Bloomfield, NJ 07003-5641. The office can be reached at 973-743-2919 (phone).

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 1114219730 directly on the NPPES registry website.

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