Mary T Derienzo, LPC is a
Counselor - Professional based in Garwood, New Jersey. Mary T Derienzo is licensed to practice in New Jersey (license number 37PC00071500) and her current practice location is
818 Center St, Garwood, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(908) 670-7768.
NPI number for Mary T Derienzo is 1003515503 and her current mailing address is 818 Center St, Garwood, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003515503.
Healthcare Provider's Profile
Full Name | Mary T Derienzo |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 818 Center St, Garwood, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003515503
- Provider Enumeration Date: 02/23/2023
- Last Update Date: 02/23/2023
Medical Identifiers
Medical identifiers for Mary T Derienzo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003515503 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 37PC00071500 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary T Derienzo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mary T Derienzo, LPC 818 Center St, Garwood, NJ 07027-1416 Ph: (908) 670-7768 | Mary T Derienzo, LPC 818 Center St, Garwood, NJ 07027-1416 Ph: (908) 670-7768 |
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