Vicente, Pedro

Vicente, Pedro is an sole proprietor health care provider with primary practice located at 63 Grove St , Bloomfield NJ 07003-5641. He 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 / Social Worker is his primary health care specialty. Vicente, Pedro can be contacted via phone (973) 743-2919.

Contact Information

Primary practice address
63 Grove St Bloomfield NJ 07003-5641
Phone: (973) 743-2919
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 44SW05327400 New Jersey
Behavioral Health & Social Service Providers / Social Worker 104100000X 44SW05327400 New Jersey

Profile Details

NPI number 1114219730
LBN Legal business name Vicente, Pedro
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2011
Last updated Feb 7th, 2022 - about 4 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 1114219730 NPPES
New Jersey MEDICAID 1114219730

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