Dorith Prutchi, MSS, LCSW
Individual provider Active NPI Clinical Social Worker · Pitman, NJ
NPI 1275968190 · NPPES record last updated Oct 27, 2015
Key facts
- NPI
- 1275968190
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC05551500 (NJ)
- Practice address
- 140 S Broadway
#7
Pitman, NJ 08071-2235 - Phone
- (844) 365-7676
- Fax
- (844) 365-7676
- NPI assigned
- Sep 10, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05551500 | NJ | Yes |
Addresses
Primary practice location
140 S Broadway
#7
Pitman, NJ 08071-2235
Mailing address
525 Route 73 N
Suite 104
Marlton, NJ 08053-3422
Phone (609) 510-3271
Other providers in Pitman, NJ
- Pitman Manor Inc
- Pitman Manor, Inc.
- Pitman Pharmacy Inc
- Pitman Public Schools
- Positive State Psychological & Behavioral Services, LLC
- Andrew Lawrence Putter
- Real Life Stars
- Rebel Healer Counseling LLC
- Reconstructive Orthopedics, PA
- Reflections Counseling & Wellness
All providers in Pitman, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.