Individual provider · NPI-1

Rebecca P Coniglio, LCSW

Social Worker, Clinical · New Providence, NJ

NPI number1043075468
StatusActive
Last updated in NPPESOct 16, 2024

Details

NPI
1043075468
Entity type
Individual (NPI-1)
Name
Mrs. Rebecca P Coniglio
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 15, 2024
Certification date
Oct 14, 2024
Last updated
Oct 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical44SC05154900NJYes
101Y00000X Counselor22SC05154900NJ

Practice location

48 Marion Ave
New Providence, NJ 07974-1908

Phone 973-568-6453

Mailing address

48 Marion Ave
New Providence, NJ 07974-1908

Phone 973-568-6453

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