Provider Demographics
NPI:1205307907
Name:CUCCIO, SETON ELIZABETH (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SETON
Middle Name:ELIZABETH
Last Name:CUCCIO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SETON
Other - Middle Name:ELIZABETH
Other - Last Name:DANISH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:200 WYCKOFF ROAD
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724
Mailing Address - Country:US
Mailing Address - Phone:862-781-3757
Mailing Address - Fax:
Practice Address - Street 1:200 WYCKOFF ROAD
Practice Address - Street 2:3RD FLOOR
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724
Practice Address - Country:US
Practice Address - Phone:862-781-3755
Practice Address - Fax:732-443-3144
Is Sole Proprietor?:No
Enumeration Date:2018-12-07
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00327000101YA0400X
NJ44SL06281300104100000X
NJ10626161041S0200X
NJ44SC059100001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool