Active NPIIndividual provider

Maria Dibenedetto, LAC

Counselor, Mental Health in Glen Rock, New Jersey

NPI Number1861090573
Practice location
65 Harristown RD Ste 310, Glen Rock, NJ 07452-3356
Fax
847-859-5885
Last updated
October 14, 2020

Maria Dibenedetto is a Counselor, Mental Health based in Glen Rock, NJ. Maria Dibenedetto practices in Glen Rock, NJ and has the professional credentials of LAC. The NPI Number for Maria Dibenedetto is 1861090573 and holds a License No. 37AC00476000 (NJ). The current practice location address for Maria Dibenedetto is 65 Harristown RD Ste 310, Glen Rock, NJ 07452-3356 and can be reached out via phone at 732-982-2888 and via fax at 847-859-5885.

Provider Profile Details

NPI Number
1861090573
Provider Name
Maria Dibenedetto
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
65 Harristown RD Ste 310, Glen Rock, NJ 07452-3356
Phone Number
732-982-2888
Fax Number
847-859-5885
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
October 14, 2020
Last Update Date
October 14, 2020
Certification Date
October 14, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
65 Harristown RD Ste 310
Glen Rock, NJ 07452-3356
Zip
07452-3356
Phone Number
732-982-2888
Fax Number
847-859-5885
Glen Rock, NJ 07452Get directions →

Provider Business Mailing Address Details

Address
175 E Hawthorn Pkwy Ste 235
Vernon Hills, IL 60061-1454
City
Vernon Hills
State
IL
Zip
60061-1454
Phone Number
847-868-3435
Fax Number
847-859-5885

License Information

License Number
37AC00476000
License State
NJ
Taxonomy
Counselor, Mental Health · 101YM0800X · 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 Maria Dibenedetto, LAC?

The NPI number of Maria Dibenedetto, LAC is 1861090573. It was assigned on October 14, 2020 and is currently active in the NPPES registry.

What is the specialty of Maria Dibenedetto, LAC?

Maria Dibenedetto, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00476000.

Where does Maria Dibenedetto, LAC practice?

The practice location is 65 Harristown RD Ste 310, Glen Rock, NJ 07452-3356. The office can be reached at 732-982-2888 (phone) or 847-859-5885 (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 1861090573 directly on the NPPES registry website.

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