Doctor Name: | MS. BENEDETTA VERSACI |
NPI Number: | 1982832713 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 44SC05397900 |
Business Practice Address: | 886 Belmont Ave North Haledon, NJ - 075082573 |
Business Phone Number: | 9735304155 |
Business Fax Number: | 9732734797 |
Mailing Address: | 632 Avalon Gardens Dr, NANUET |
State: | NY |
Postal Code: | 109547438 |
Phone Number: | 9735304155 |
Fax Number: | 9732734797 |
NPI Enumeration Date: | 07/01/2009 |
NPI Last Update Date: | 10/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC05397900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |