Ms Lisa Petrucelli, LCSW | |
299 Industrial Park Rd Ste 2, Nazareth, PA 18064-2439 | |
(610) 504-6122 | |
(610) 365-2506 |
Full Name | Ms Lisa Petrucelli |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 299 Industrial Park Rd Ste 2, Nazareth, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992909725 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CW015671 (Pennsylvania) | Primary |
Entity Name | Easton Neuropyschological And Behavioral Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528497559 PECOS PAC ID: 4385873975 Enrollment ID: O20140130001297 |
Mailing Address | Practice Location Address |
---|---|
Ms Lisa Petrucelli, LCSW 299 Industrial Park Rd Ste 2, Nazareth, PA 18064-2439 Ph: (610) 504-6122 | Ms Lisa Petrucelli, LCSW 299 Industrial Park Rd Ste 2, Nazareth, PA 18064-2439 Ph: (610) 504-6122 |
Ms. Jackeline Cascante, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 521 City View Dr, Nazareth, PA 18064 Phone: 908-247-3181 | |
John D Weaver, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4635 Hillview Dr, Nazareth, PA 18064 Phone: 610-614-1860 Fax: 610-614-1860 | |
Lauren Dennelly, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 299 Industrial Park Rd, Nazareth, PA 18064 Phone: 610-504-6122 | |
Sheri Angstadt, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4454 Meadow Dr, Nazareth, PA 18064 Phone: 610-759-2449 |