Provider Demographics
NPI:1750042644
Name:OBERTO, MERALEA J (LSW)
Entity type:Individual
Prefix:
First Name:MERALEA
Middle Name:J
Last Name:OBERTO
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:MERALEA
Other - Middle Name:J
Other - Last Name:PETRUZZI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:410 CARLETON AVE
Mailing Address - Street 2:
Mailing Address - City:HAZLETON
Mailing Address - State:PA
Mailing Address - Zip Code:18201-7422
Mailing Address - Country:US
Mailing Address - Phone:570-956-9690
Mailing Address - Fax:
Practice Address - Street 1:8 W BROAD ST STE 308
Practice Address - Street 2:
Practice Address - City:HAZLETON
Practice Address - State:PA
Practice Address - Zip Code:18201-6427
Practice Address - Country:US
Practice Address - Phone:570-535-4468
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-04
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0226251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical