| Sharon Carroccia Lcsw, Llc | |
|
310 Chris Gaupp Drive Suite 105 Galloway NJ 08205-4461 | |
| (609) 652-6040 | |
| (609) 652-5340 |
| Full Name | Sharon Carroccia Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 310 Chris Gaupp Drive, Galloway, New Jersey |
| Authorized Official Name and Position | Sharon L Carroccia (LCSW) |
| Authorized Official Contact | 6096526040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sharon Carroccia Lcsw, Llc 310 Chris Gaupp Drive Suite 105 Galloway NJ 08205-4461 Ph: (609) 652-6040 | Sharon Carroccia Lcsw, Llc 310 Chris Gaupp Drive Suite 105 Galloway NJ 08205-4461 Ph: (609) 652-6040 |
| NPI Number | 1235437369 |
|---|---|
| Provider Enumeration Date | 03/15/2011 |
| Last Update Date | 03/15/2011 |
| Medicare PECOS PAC ID | 5597949206 |
|---|---|
| Medicare Enrollment ID | O20110405000090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235437369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC00573000 (New Jersey) | Primary |
| Provider Name | Sharon Carroccia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598988560 PECOS PAC ID: 6800790072 Enrollment ID: I20031120000670 |
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