Daniela Masucci
Individual provider Active NPI Social Worker · Wall, NJ
NPI 1417714932 · NPPES record last updated Mar 1, 2024
Key facts
- NPI
- 1417714932
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 44SL06142200 (NJ)
- Practice address
- 2510 Belmar Blvd Ste 10
Wall, NJ 07719-3948 - Phone
- (732) 481-7378
- NPI assigned
- Mar 1, 2024
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06142200 | NJ | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL06142200 | NJ | Yes |
Addresses
Primary practice location
2510 Belmar Blvd Ste 10
Wall, NJ 07719-3948
Mailing address
24 Crop CT
Tinton Falls, NJ 07753-7642
Phone (732) 614-2720
Other providers in Wall, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2024. 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.