Individual
MRS. DENISE MARIE MENGAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
33 E NORTHAMPTON ST, WILKES BARRE, PA 18701-2406
(570) 822-7118
(570) 829-7781
Mailing address
33 E NORTHAMPTON ST, WILKES BARRE, PA 18701-2406
(570) 822-7118
(570) 829-7781
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW012764
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2101526
CIGNA BEHAVIORAL HEALTH
PA
01
—
4610572
AETNA
PA
Enumeration date
04/11/2006
Last updated
01/23/2017
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