Provider Demographics
NPI:1831962729
Name:TECCHIO, BETH E (LCSW)
Entity type:Individual
Prefix:MRS
First Name:BETH
Middle Name:E
Last Name:TECCHIO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 INDIAN SPRING TRL
Mailing Address - Street 2:
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-2036
Mailing Address - Country:US
Mailing Address - Phone:201-519-9177
Mailing Address - Fax:
Practice Address - Street 1:18 INDIAN SPRING TRL
Practice Address - Street 2:
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-2036
Practice Address - Country:US
Practice Address - Phone:201-519-9177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-01
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC062801001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical