Individual
EILEEN PERSICHETTI
Active
Individual
EILEEN PERSICHETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CW026472
PA
1041C0700X
Clinical Social Worker
Primary
LC200003102
DC
1041C0700X
Clinical Social Worker
LG200001261
DC
Other
Enumeration date
07/12/2022
Last updated
08/30/2026
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