Mr Richard Anthony Distaulo, LCSW, LCADC is a
Social Worker - Clinical based in Morristown, New Jersey. Mr Richard Anthony Distaulo is licensed to practice in New Jersey (license number 44SC01344600) and his current practice location is
95 Mount Kemble Ave, Morristown, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(888) 247-1400.
NPI number for Mr Richard Anthony Distaulo is 1568575272 and his current mailing address is 95 Mt. Kemble Avenue, Attn: C. Lampron, Morristown, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568575272.
Healthcare Provider's Profile
| Full Name | Mr Richard Anthony Distaulo |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 95 Mount Kemble Ave, Morristown, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1568575272
- Provider Enumeration Date: 08/16/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Richard Anthony Distaulo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568575272 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00067600 (New Jersey) | Primary |
| 1041C0700X | Social Worker - Clinical | 44SC01344600 (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. Mr Richard Anthony Distaulo 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 |
|---|
Mr Richard Anthony Distaulo, LCSW, LCADC
95 Mt. Kemble Avenue, Attn: C. Lampron,
Morristown, NJ 07962-1978
Ph: (973) 971-4714 | Mr Richard Anthony Distaulo, LCSW, LCADC
95 Mount Kemble Ave,
Morristown, NJ 07960-5155
Ph: (888) 247-1400 |
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