Lopez, Maria Vanessa

Lopez, Maria Vanessa is an sole proprietor health care provider with primary practice located at 303 George St Suite 200, New Brunswick NJ 08901-2020. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Lopez, Maria Vanessa can be contacted via phone (732) 235-6800.

Contact Information

Primary practice address
303 George St Suite 200 New Brunswick NJ 08901-2020
Phone: (732) 235-6800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 44SL05663400 New Jersey
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05557900 New Jersey

Profile Details

NPI number 1972865053
LBN Legal business name Lopez, Maria Vanessa
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2012
Last updated Jan 10th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972865053 NPPES
New Jersey MEDICAID 4144007

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