Taylor N Masciocchi, LCSW
Social Worker, Clinical in Marlton, NJ. Individual provider (NPI-1).
NPI number1982202669
StatusActive
Last updated in NPPESAug 16, 2023
Details
- NPI
- 1982202669
- Entity type
- Individual (NPI-1)
- Name
- Taylor N Masciocchi
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 14, 2020
- Certification date
- Aug 16, 2023
- Last updated
- Aug 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 44SC06258200 | NJ | Yes |
| 104100000X | Social Worker | 44SL06608700 | NJ |
Practice location
3000 Lincoln Dr E Ste EMarlton, NJ 08053-1500
Phone 667-415-9995
Mailing address
3000 Lincoln Dr E Ste EMarlton, NJ 08053-1500
Phone 166-741-5999
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