Active NPIIndividual providerSole proprietor

Mrs. Suzanne M Petrucci, LCSW

Social Worker, Clinical in Woodbury, New Jersey

NPI Number1174714562
Practice location
45 Delaware Street, Woodbury, NJ 08096
Fax
856-845-7432
Last updated
October 20, 2023

Suzanne Marie Petrucci is a Social Worker, Clinical based in Woodbury, NJ. Suzanne Marie Petrucci practices in Woodbury, NJ and has the professional credentials of LCSW. The NPI Number for Suzanne Marie Petrucci is 1174714562 and holds a License No. 44SL05135800 (NJ). The current practice location address for Suzanne Marie Petrucci is 45 Delaware Street, Woodbury, NJ 08096 and can be reached out via phone at 856-304-0578 and via fax at 856-845-7432.

Provider Profile Details

NPI Number
1174714562
Provider Name
Suzanne Marie Petrucci
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
45 Delaware Street, Woodbury, NJ 08096
Phone Number
856-304-0578
Fax Number
856-845-7432
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
Suzanne Marie Cohen, LCSW (Former Name)
Provider Enumeration Date
August 9, 2007
Last Update Date
October 20, 2023
Certification Date
October 20, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
45 Delaware Street
Woodbury, NJ 08096
Zip
08096
Phone Number
856-304-0578
Fax Number
856-845-7432
Woodbury, NJ 08096Get directions →

Provider Business Mailing Address Details

Address
45 Delaware Street
Woodbury, NJ 08096
City
Woodbury
State
NJ
Zip
08096
Phone Number
856-304-0578
Fax Number
856-845-7432

License Information

License Number (1)
44SL05135800
License State (1)
NJ
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
44SL05135800
License State (2)
NJ
Taxonomy (2)
Social Worker, School · 1041S0200X
License Number (3)
44SC05267700
License State (3)
NJ
Taxonomy (3)
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 Mrs. Suzanne M Petrucci, LCSW?

The NPI number of Mrs. Suzanne M Petrucci, LCSW is 1174714562. It was assigned on August 9, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Suzanne M Petrucci, LCSW?

Mrs. Suzanne M Petrucci, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SL05135800.

Where does Mrs. Suzanne M Petrucci, LCSW practice?

The practice location is 45 Delaware Street, Woodbury, NJ 08096. The office can be reached at 856-304-0578 (phone) or 856-845-7432 (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 1174714562 directly on the NPPES registry website.

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