Active NPIIndividual provider

Mrs. Stephanie Petrucha, LCSW

Social Worker, Clinical in Long Branch, New Jersey

NPI Number1497293492
Practice location
75 N Bath Ave, Long Branch, NJ 07740-6317
Fax
732-923-5277
Last updated
February 9, 2017

Stephanie Petrucha is a Social Worker, Clinical based in Long Branch, NJ. Stephanie Petrucha practices in Long Branch, NJ and has the professional credentials of LCSW. The NPI Number for Stephanie Petrucha is 1497293492 and holds a License No. 44SC05557700 (NJ). The current practice location address for Stephanie Petrucha is 75 N Bath Ave, Long Branch, NJ 07740-6317 and can be reached out via phone at 732-923-5226 and via fax at 732-923-5277.

Provider Profile Details

NPI Number
1497293492
Provider Name
Stephanie Petrucha
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
75 N Bath Ave, Long Branch, NJ 07740-6317
Phone Number
732-923-5226
Fax Number
732-923-5277
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
February 9, 2017
Last Update Date
February 9, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 N Bath Ave
Long Branch, NJ 07740-6317
Zip
07740-6317
Phone Number
732-923-5226
Fax Number
732-923-5277
Long Branch, NJ 07740Get directions →

Provider Business Mailing Address Details

Address
75 North Bath Ave
Long Branch, NJ 07740
City
Long Branch
State
NJ
Zip
07740
Phone Number
732-923-5226
Fax Number
732-923-5277

License Information

License Number
44SC05557700
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 Mrs. Stephanie Petrucha, LCSW?

The NPI number of Mrs. Stephanie Petrucha, LCSW is 1497293492. It was assigned on February 9, 2017 and is currently active in the NPPES registry.

What is the specialty of Mrs. Stephanie Petrucha, LCSW?

Mrs. Stephanie Petrucha, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05557700.

Where does Mrs. Stephanie Petrucha, LCSW practice?

The practice location is 75 N Bath Ave, Long Branch, NJ 07740-6317. The office can be reached at 732-923-5226 (phone) or 732-923-5277 (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 1497293492 directly on the NPPES registry website.

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