Tierra Pace

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC0598400 Issued in NJ

Practice address

1964 E Oak Rd Unit N1
Vineland, NJ 08361-2584

Phone

(856) 502-2236

NPI assigned

Jun 2, 2021

Last updated

Sep 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stephanie Mazzoni Engle, LCSW LLC

  dba The Healing Den

  • Mental Health Counselor
  • Vineland, NJ
  • NPI 1831063023
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1437725116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 MILLBRIDGE RD",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080215557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1964 E OAK RD UNIT N1",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083612584",
            "telephone_number": "856-502-2236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "788 Millbridge Rd",
            "address_purpose": "LOCATION",
            "city": "Clementon",
            "state": "NJ",
            "postal_code": "080215557",
            "country_code": "US",
            "telephone_number": "856-502-2236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACE",
        "first_name": "TIERRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC0598400",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "21849",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Owen Sheekey MD LLC
• Lydia Oluwaseun Oyawole
• P John Marcucci DDS PC
• Danielle Pace, LMT, MMP
• Jennifer Pace, PT, DPT
• Annette Pacheco
• Leslie Pacheco
• Danielle Paci
• Mae F. Pacitti, RPH.
• Gerald S Packman, M.D.

• Clinical Social Worker in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.