MS. ELIZABETH D. PEZOA (NPI# 1528263704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528263704 |
| Entity Type | Individual |
| Full Name | MS. ELIZABETH D. PEZOA |
| Other Name | MS. ELIZABETH D. PEZOA |
| Credential | LCSW, LPCC |
| Practice Address |
1120 Route 73 Ste 300 Mount Laurel NJ 08054-5113 |
| Practice Telephone | 8004428938 |
| Practice Fax Number | 8568611384 |
| Mailing Telephone | 8004428938 |
| Mailing Fax Number | 8568611364 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
LPCC817 | CA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW22323 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1120 ROUTE 73 STE 300 |
| City | MOUNT LAUREL |
| State | NJ |
| Zip Code | 08054-5113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891248431 | Samantha Conte | Student in an Organized Health Care Education/Training Program | 1120 Route 73 Ste 300, Mount Laurel, NJ 08054-5113 | 2016-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837267 | Samantha Leafey | Behavior Technician | 800 Birchfield Dr., 801, Mount Laurel, NJ 08054 | 2019-12-04 |
| 1306403522 | A-1 Support Coordination Nj | Case Management | 1504 Larchmont Place, Mount Laurel, NJ 08054 | 2019-05-22 |
| 1285129080 | Lincoln Healthcare of New Jersey, LLC | Home Health | 309 Fellowship Rd Ste 100, Mount Laurel, NJ 08054 | 2018-06-25 |
| 1295238400 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 200 E Park Dr Ste 600a, Mount Laurel, NJ 08054 | 2018-03-14 |
| 1003323387 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 73 Fellowship, Mt Laurel, NJ 08054 | 2018-01-08 |
| 1750893954 | Tishanna D Majette Phd Corporation | Psychologist | 3000 Atrium Way Ste 200, Mount Laurel, NJ 08054 | 2017-10-27 |
| 1700304706 | Arc of Camden County Essex Lane Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5320 Essex Lane, Mt. Laurel, NJ 08054 | 2017-08-30 |
| 1417472861 | Maggie Garin | Dietitian, Registered | 15000 Midlantic Avenue, Suite 101, Mount Laurel, NJ 08054 | 2017-08-07 |
| 1891225363 | New Jersey Lice Treatment LLC | Technician, Other | 500 Birchfield Dr, Suite 503-a, Mount Laurel, NJ 08054 | 2017-06-15 |
| 1225563927 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 761 Grant Ave, Mt Laurel, NJ 08054 | 2017-05-01 |
| Find all providers in zip 08054 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821528357 | Elizabeth M Staib | Social Worker | 1155 Route 73 Ste 18, Mount Laurel, NJ 08054-2352 | 2017-06-18 |
| 1679925630 | Marisol Charernsook | Social Worker | 702 Hunters Ln, Mount Laurel, NJ 08054-2815 | 2016-07-01 |
| 1013380146 | Elaine Lopez | Social Worker | 776 Carteret Ct, Mount Laurel, NJ 08054-3205 | 2015-11-11 |
| 1831573377 | Elsa Enterprises PC | Social Worker | 307b Mitten Ln, Mount Laurel, NJ 08054-3173 | 2015-07-15 |
| 1386065936 | Monica Shore | Social Worker | 161 Brentwood Dr, Mount Laurel, NJ 08054-2348 | 2013-12-30 |
| 1124232061 | Cindy Faust | Social Worker | Mlcf 1155 Route 73, Ramblewood Center Suite 12, Mount Laurel, NJ 08054-2352 | 2007-05-10 |
| 1497974406 | Ned G Hanover | Social Worker | 1203 Sedgefield Dr, Mount Laurel, NJ 08054-1857 | 2007-04-25 |
| 1467531699 | Nicole F Levin | Social Worker | 702 Birchfield Dr, Mount Laurel, NJ 08054-4020 | 2006-11-06 |
| 1407475940 | Shari Hurst | Social Worker | 3000 Atrium Way Ste 200, Mount Laurel, NJ 08054-3910 | 2020-04-14 |
| 1386120913 | Alison Margaret Locklear | Social Worker | 15000 Midlantic Dr Ste 101, Mount Laurel, NJ 08054-1573 | 2018-07-17 |
| Find all providers in MOUNT LAUREL | ||||
| City | MOUNT LAUREL |
| Zip Code | 08054 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.