Provider Demographics
NPI:1437144813
Name:PITOCCO, BARBARA MARY (MSW)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:MARY
Last Name:PITOCCO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 UNION ST
Mailing Address - Street 2:
Mailing Address - City:LODI
Mailing Address - State:NJ
Mailing Address - Zip Code:07644-3249
Mailing Address - Country:US
Mailing Address - Phone:973-773-9486
Mailing Address - Fax:973-472-2945
Practice Address - Street 1:375 UNION ST
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:NJ
Practice Address - Zip Code:07644-3249
Practice Address - Country:US
Practice Address - Phone:973-773-9486
Practice Address - Fax:973-472-2945
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2010-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical