Deangelis, Dia

Deangelis, Dia is an sole proprietor health care provider with primary practice located at 470 Prospect Ave Ste 207 , West Orange NJ 07052-4106. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Deangelis, Dia can be contacted via phone (973) 738-7404.

Contact Information

Primary practice address
470 Prospect Ave Ste 207 West Orange NJ 07052-4106
Phone: (973) 738-7404
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05827100 New Jersey
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05827100

Profile Details

NPI number 1437619376
LBN Legal business name Deangelis, Dia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2019
Last updated Mar 25th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437619376 NPPES
New Jersey MEDICAID 1041C0700X

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