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:
Health care specialties
| Specialty | Code | License # | 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 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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