| Lori M Sparzo Lcsw | |
|
406 Maple Ave Ewing NJ 08618-2659 | |
| (609) 240-7020 | |
| Not Available |
| Full Name | Lori M Sparzo Lcsw |
|---|---|
| Speciality | Social Worker |
| Location | 406 Maple Ave, Ewing, New Jersey |
| Authorized Official Name and Position | Lori M Sparzo (SOLE MEMBER/OWNER) |
| Authorized Official Contact | 6092407020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lori M Sparzo Lcsw 406 Maple Ave Ewing NJ 08618-2659 Ph: (609) 240-7020 | Lori M Sparzo Lcsw 406 Maple Ave Ewing NJ 08618-2659 Ph: (609) 240-7020 |
| NPI Number | 1962092916 |
|---|---|
| Provider Enumeration Date | 01/24/2021 |
| Last Update Date | 01/24/2021 |
| Certification Date | 01/21/2021 |
| Medicare PECOS PAC ID | 2769897750 |
|---|---|
| Medicare Enrollment ID | O20210225001789 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962092916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lori M Sparzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770647737 PECOS PAC ID: 2466672779 Enrollment ID: I20141009001041 |
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