Annette Provencher LCSW LLC
Social Worker, Clinical in Middletown, New Jersey
1225579162- Practice location
- 24 Chapman Ter, Middletown, NJ 07748-1563
- Phone
- 732-876-3094
- Fax
- —
- Last updated
- March 11, 2017
Annette Provencher LCSW LLC is a healthcare organization based in Middletown, NJ. Annette Provencher LCSW LLC practices in Middletown, NJ. The NPI Number for Annette Provencher LCSW LLC is 1225579162 and holds a License No. 44SC04823100 (NJ). The current practice location address for Annette Provencher LCSW LLC is 24 Chapman Ter, Middletown, NJ 07748-1563 and can be reached out via phone at 732-876-3094.
Provider Profile Details
- NPI Number
- 1225579162
- Provider Name
- Annette Provencher LCSW LLC
- Provider Entity Type
- Organization
- Address
- 24 Chapman Ter, Middletown, NJ 07748-1563
- Phone Number
- 732-876-3094
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Annette Provencher, LCSW · Owner · 732-876-3094
- Provider Enumeration Date
- March 11, 2017
- Last Update Date
- March 11, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 24 Chapman Ter
Middletown, NJ 07748-1563 - City
- Middletown
- State
- New Jersey
- Zip
- 07748-1563
- Phone Number
- 732-876-3094
Provider Business Mailing Address Details
- Address
- 39 Avenue At The Cmn
Suite 106
Shrewsbury, NJ 07702-4807 - City
- Shrewsbury
- State
- NJ
- Zip
- 07702-4807
- Phone Number
- 732-876-3094
License Information
- License Number
- 44SC04823100
- License State
- NJ
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Annette Provencher LCSW LLC?
The NPI number of Annette Provencher LCSW LLC is 1225579162. It was assigned on March 11, 2017 and is currently active in the NPPES registry.
What is the specialty of Annette Provencher LCSW LLC?
Annette Provencher LCSW LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC04823100.
Where does Annette Provencher LCSW LLC practice?
The practice location is 24 Chapman Ter, Middletown, NJ 07748-1563. The office can be reached at 732-876-3094 (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 1225579162 directly on the NPPES registry website.