Provider Demographics
NPI:1033819982
Name:PEREZ ESTEVA, MELANY (LCSW)
Entity Type:Individual
Prefix:
First Name:MELANY
Middle Name:
Last Name:PEREZ ESTEVA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 THOMAS AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08077-1445
Mailing Address - Country:US
Mailing Address - Phone:856-982-3374
Mailing Address - Fax:
Practice Address - Street 1:603 THOMAS AVE
Practice Address - Street 2:
Practice Address - City:RIVERTON
Practice Address - State:NJ
Practice Address - Zip Code:08077-1445
Practice Address - Country:US
Practice Address - Phone:856-982-3374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-08
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical