| Stephanie Mazzoni Engle, Lcsw Llc | |
|
2581 E Chestnut Ave Ste B Vineland NJ 08361-8487 | |
| (867) 238-1044 | |
| Not Available |
| Full Name | Stephanie Mazzoni Engle, Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2581 E Chestnut Ave Ste B, Vineland, New Jersey |
| Authorized Official Name and Position | Stephanie Mazzoni Engle (SOLE PROPRIETOR) |
| Authorized Official Contact | 8562078966 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Mazzoni Engle, Lcsw Llc 111 Hunter Dr Newfield NJ 08344-9529 Ph: (856) 238-1044 | Stephanie Mazzoni Engle, Lcsw Llc 2581 E Chestnut Ave Ste B Vineland NJ 08361-8487 Ph: (867) 238-1044 |
| NPI Number | 1831702034 |
|---|---|
| Provider Enumeration Date | 08/26/2020 |
| Last Update Date | 10/13/2025 |
| Certification Date | 10/13/2025 |
| Medicare PECOS PAC ID | 3375953060 |
|---|---|
| Medicare Enrollment ID | O20201109001938 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831702034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Stephanie M Engle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144851429 PECOS PAC ID: 4183051642 Enrollment ID: I20200221001093 |
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