Active NPIIndividual providerSole proprietor

Kerry Fiasconaro, LCSW

Social Worker, Clinical in Red Bank, New Jersey

NPI Number1629628474
Practice location
200 Maple Ave Ste 100, Red Bank, NJ 07701-1732
Fax
—
Last updated
September 13, 2019

Kerry Fiasconaro is a Social Worker, Clinical based in Red Bank, NJ. Kerry Fiasconaro practices in Red Bank, NJ and has the professional credentials of LCSW. The NPI Number for Kerry Fiasconaro is 1629628474 and holds a License No. 44SC05540200 (NJ). The current practice location address for Kerry Fiasconaro is 200 Maple Ave Ste 100, Red Bank, NJ 07701-1732 and can be reached out via phone at 732-784-3181.

Provider Profile Details

NPI Number
1629628474
Provider Name
Kerry Fiasconaro
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
200 Maple Ave Ste 100, Red Bank, NJ 07701-1732
Phone Number
732-784-3181
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 13, 2019
Last Update Date
September 13, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Maple Ave Ste 100
Red Bank, NJ 07701-1732
Zip
07701-1732
Phone Number
732-784-3181
Red Bank, NJ 07701Get directions →

Provider Business Mailing Address Details

Address
200 Maple Ave Ste 100
Red Bank, NJ 07701-1732
City
Red Bank
State
NJ
Zip
07701-1732
Phone Number
732-784-3181

License Information

License Number
44SC05540200
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 Kerry Fiasconaro, LCSW?

The NPI number of Kerry Fiasconaro, LCSW is 1629628474. It was assigned on September 13, 2019 and is currently active in the NPPES registry.

What is the specialty of Kerry Fiasconaro, LCSW?

Kerry Fiasconaro, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05540200.

Where does Kerry Fiasconaro, LCSW practice?

The practice location is 200 Maple Ave Ste 100, Red Bank, NJ 07701-1732. The office can be reached at 732-784-3181 (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 1629628474 directly on the NPPES registry website.

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