MS. TINA MARIA MAZZOCCA


Address: 562 Lippincott Dr, Suite B, Marlton, NJ 08053-4810
Phone: 8565128108

MS. TINA MARIA MAZZOCCA (NPI# 1578907697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578907697
Entity Type Individual
Full Name MS. TINA MARIA MAZZOCCA
Credential LCSW
Practice Address 562 Lippincott Dr
Suite B
Marlton
NJ 08053-4810
Mailing Address 562 B Lippincott Dr.
Marlton
NJ 08053
Practice Telephone 8565128108
Practice Fax Number 8778259890
Mailing Telephone 8565128108
Mailing Fax Number 8778259890
Enumeration Date 2013-04-19
Last Update Date 2013-04-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
44SC05514100 NJ Behavioral Health & Social Service Providers

Office Location

Street Address 562 LIPPINCOTT DR
SUITE B
City MARLTON
State NJ
Zip Code 08053-4810

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1972137727 On Purpose Counseling Counselor 525 Route 73 S Ste 306b, Marlton, NJ 08053-9644 2020-03-02
1528472693 Heather Wells Counselor 538 Kettle Run Rd, Marlton, NJ 08053-7142 2014-06-17
1053748392 Sharnessa Bond Counselor 7 Gaylord Ln, Marlton, NJ 08053-1917 2013-10-01
1649535717 Quality Life Counseling Group, LLC Counselor 1 Eves Dr, Marlton, NJ 08053-3125 2012-07-05
1558538694 Barri Lentini Counselor 49 Country Club Ln, Marlton, NJ 08053-9713 2008-05-08
1326073883 Natalie Susan Gaber Counselor 1 Greentree Ctr Ste 201, Marlton, NJ 08053-3105 2006-07-12
1649898750 Tiffany Blake Counselor 525 Route 73 N Ste 104, Marlton, NJ 08053-3422 2020-07-06
1760008247 Ariyon Fountaine Counselor 19 E Main St, Marlton, NJ 08053-2172 2020-06-22
1720639800 Ashante Taylorcox Counselor 19 E Main St, Marlton, NJ 08053-2172 2019-09-20
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Competitor

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City MARLTON
Zip Code 08053

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Dataset Information

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.

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