Mazza, Elena Theresa

Mazza, Elena Theresa is an individual health care provider with primary practice located at 268 Broad Street , Red Bank NJ 07701-2042. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mazza, Elena Theresa can be contacted via phone (732) 663-1344.

Contact Information

Primary practice address
268 Broad Street Red Bank NJ 07701-2042
Phone: (732) 663-1344
Fax: (732) 663-1334
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC04785100 New Jersey

Profile Details

NPI number 1679517890
LBN Legal business name Mazza, Elena Theresa
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Aug 29th, 2008 - about 16 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 1679517890 NPPES
New Jersey Other P2458807 OXFORD HEALTH PLANS
New Jersey Other 27135400 OXFORD HEALTH PLANS
New Jersey MEDICAID 0019810 OXFORD HEALTH PLANS

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