| Beth Dibiase Counseling And Psychotherapy, Llc | |
|
8 Hillside Ave Ste 206 Montclair NJ 07042 | |
| (973) 826-0409 | |
| Not Available |
| Full Name | Beth Dibiase Counseling And Psychotherapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8 Hillside Ave Ste 206, Montclair, New Jersey |
| Authorized Official Name and Position | Beth Dibiase Fiorarancio (OWNER) |
| Authorized Official Contact | 9738260409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beth Dibiase Counseling And Psychotherapy, Llc 8 Hillside Ave Ste 206 Montclair NJ 07042-2129 Ph: (973) 826-0409 | Beth Dibiase Counseling And Psychotherapy, Llc 8 Hillside Ave Ste 206 Montclair NJ 07042 Ph: (973) 826-0409 |
| NPI Number | 1982120341 |
|---|---|
| Provider Enumeration Date | 08/17/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 5294000915 |
|---|---|
| Medicare Enrollment ID | O20171005003232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982120341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05657000 (New Jersey) | Primary |
| Provider Name | Beth D Fiorarancio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346274339 PECOS PAC ID: 4284641879 Enrollment ID: I20171005003334 |
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