Stephanie Mazzoni Engle, Lcsw Llc | |
1964 E Oak Rd Unit N1 Vineland NJ 08361-2584 | |
(867) 238-1044 | |
Not Available |
Full Name | Stephanie Mazzoni Engle, Lcsw Llc |
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Speciality | Social Worker |
Location | 1964 E Oak Rd Unit N1, Vineland, New Jersey |
Authorized Official Name and Position | Stephanie Mazzoni Engle (SOLE PROPRIETOR) |
Authorized Official Contact | 8562078966 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Stephanie Mazzoni Engle, Lcsw Llc 1964 E Oak Rd Unit N1 Vineland NJ 08361-2584 Ph: (867) 238-1044 | Stephanie Mazzoni Engle, Lcsw Llc 1964 E Oak Rd Unit N1 Vineland NJ 08361-2584 Ph: (867) 238-1044 |
NPI Number | 1831702034 |
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Provider Enumeration Date | 08/26/2020 |
Last Update Date | 10/31/2022 |
Certification Date | 10/31/2022 |
Medicare PECOS PAC ID | 3375953060 |
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Medicare Enrollment ID | O20201109001938 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831702034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Stephanie M Engle |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1144851429 PECOS PAC ID: 4183051642 Enrollment ID: I20200221001093 |
Provider Name | Tierra Pace |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437725116 PECOS PAC ID: 6709254691 Enrollment ID: I20221128001027 |
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