Provider Demographics
NPI:1487828554
Name:MANOCCHIO, VICTOR JOHN II (LCSW)
Entity Type:Individual
Prefix:MR
First Name:VICTOR
Middle Name:JOHN
Last Name:MANOCCHIO
Suffix:II
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6 SUNNYSIDE RD
Mailing Address - Street 2:
Mailing Address - City:TUNKHANNOCK
Mailing Address - State:PA
Mailing Address - Zip Code:18657-6950
Mailing Address - Country:US
Mailing Address - Phone:570-836-7777
Mailing Address - Fax:570-836-7479
Practice Address - Street 1:6 SUNNYSIDE RD
Practice Address - Street 2:
Practice Address - City:TUNKHANNOCK
Practice Address - State:PA
Practice Address - Zip Code:18657-6950
Practice Address - Country:US
Practice Address - Phone:570-836-7777
Practice Address - Fax:570-836-7479
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-18
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical