Provider Demographics
NPI:1376813493
Name:PECCI, SHERREE LYNN (MSW,LSW)
Entity Type:Individual
Prefix:MRS
First Name:SHERREE
Middle Name:LYNN
Last Name:PECCI
Suffix:
Gender:F
Credentials:MSW,LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 EVERGREEN PL
Mailing Address - Street 2:SUITE 903
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-2106
Mailing Address - Country:US
Mailing Address - Phone:973-676-5800
Mailing Address - Fax:973-676-5801
Practice Address - Street 1:60 EVERGREEN PL
Practice Address - Street 2:SUITE 903
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-2106
Practice Address - Country:US
Practice Address - Phone:973-676-5800
Practice Address - Fax:973-676-5801
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL05618300104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker