Richard Bevacqua is a Clinical in Lakewood, New Jersey. Richard Bevacqua practices all healthcare services and medical treatments related to Clinical. The NPI Number for Richard Bevacqua is 1558409532. The last update date is 2007-07-09.
Richard Bevacqua's current location address is Preferred Behavioral Health Sail Program, Lakewood, New Jersey. You can contact this provider via phone number 7323671710. The mailing address for Richard Bevacqua is Preferred Behavioral Health Sail Program, Lakewood, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Bevacqua |
|---|---|
| Address | Preferred Behavioral Health Sail Program, Lakewood, New Jersey |
| Phone Number | 7323671710 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1558409532 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | Preferred Behavioral Health Sail Program |
|---|---|
| City | Lakewood |
| State | New Jersey (NJ) |
| Post Code | 87010 |
| Phone Number | 7323671710 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 44SC00836300 |
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Definition: 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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8382603 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Richard Bevacqua by the Centers for Medicare & Medicaid Services?
The Richard Bevacqua has been assigned the NPI (National Provider Identifier) 1558409532 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Richard Bevacqua is physically located?
The Richard Bevacqua is physically situated at the following address: Preferred Behavioral Health Sail Program, Lakewood, NJ, 87010.
What is Richard Bevacqua's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Richard Bevacqua is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1558409532 to Richard Bevacqua?
The Centers for Medicare & Medicaid Services assigned the 1558409532 to Richard Bevacqua on 2007-02-02.
When was the information related to Richard Bevacqua most recently updated or refreshed?
The details pertaining to the Richard Bevacqua, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.
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