Mengak, Denise Marie

Mengak, Denise Marie is an individual health care provider with primary practice located at 33 E Northampton St , Wilkes Barre PA 18701-2406. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mengak, Denise Marie can be contacted via phone (570) 822-7118.

Contact Information

Primary practice address
33 E Northampton St Wilkes Barre PA 18701-2406
Phone: (570) 822-7118
Fax: (570) 829-7781
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW012764 Pennsylvania

Profile Details

NPI number 1639132467
LBN Legal business name Mengak, Denise Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Jan 23rd, 2017 - about 9 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 1639132467 NPPES
Pennsylvania Other 4610572 AETNA
Pennsylvania Other 2101526 AETNA

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