| Liza Restifo Lcsw Llc | |
|
3200 Sunset Ave. Suite 211 Ocean NJ 07712-4556 | |
| (908) 489-3690 | |
| Not Available |
| Full Name | Liza Restifo Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3200 Sunset Ave., Ocean, New Jersey |
| Authorized Official Name and Position | Liza Restifo (OWNER) |
| Authorized Official Contact | 9084893690 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Liza Restifo Lcsw Llc 3200 Sunset Ave. Suite 211 Ocean NJ 07712-4556 Ph: (908) 489-3690 | Liza Restifo Lcsw Llc 3200 Sunset Ave. Suite 211 Ocean NJ 07712-4556 Ph: (908) 489-3690 |
| NPI Number | 1598417446 |
|---|---|
| Provider Enumeration Date | 01/21/2022 |
| Last Update Date | 01/21/2022 |
| Certification Date | 01/21/2022 |
| Medicare PECOS PAC ID | 0941694988 |
|---|---|
| Medicare Enrollment ID | O20220308001806 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598417446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Liza A Restifo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174635825 PECOS PAC ID: 2466632047 Enrollment ID: I20110215000177 |
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