Provider Demographics
NPI:1851728661
Name:PASCIUTI, LYNNE (MSW LCSW)
Entity Type:Individual
Prefix:
First Name:LYNNE
Middle Name:
Last Name:PASCIUTI
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1945 CORLIES AVE
Mailing Address - Street 2:JERSEY SHORE UNIVERSITY MEDICAL CENTER ROSA 2
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-4859
Mailing Address - Country:US
Mailing Address - Phone:732-776-4369
Mailing Address - Fax:732-776-3771
Practice Address - Street 1:1945 CORLIES AVE
Practice Address - Street 2:JERSEY SHORE UNIVERSITY MEDICAL CENTER ROSA 2
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-4859
Practice Address - Country:US
Practice Address - Phone:732-776-2936
Practice Address - Fax:732-776-3771
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-11
Last Update Date:2013-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052700001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical