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Contact Information

JOHANNA S CROCETTO, LCSW
519 MAIN ST
SUITE A
ROYERSFORD, PA19468-2305
 Phone: 860-324-8792
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for JOHANNA S CROCETTO · (Female)

NPI Number 1164746947
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 03/23/2010
Last updated 06/25/2015 - More than a year ago
Sole proprietor 1 No
Identifiers
PA License # CW017182
PA License # SW125699
PA Medicaid 1487745386
PA Medicaid 461199781
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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