Individual
PEDRO VICENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
63 GROVE ST, BLOOMFIELD, NJ 07003-5641
(973) 743-2919
Mailing address
45 FAIRMOUNT TER # 1, EAST ORANGE, NJ 07018-2356
(973) 652-8259
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SW05327400
NJ
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
44SW05327400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114219730
—
NJ
Enumeration date
05/16/2011
Last updated
02/07/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us