Basic Information
| Provider Information | |||||||||
| NPI: | 1093874315 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AUCIELLO | ||||||||
| FirstName: | MATHILDA | ||||||||
| MiddleName: | SIMONE | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | LCSW-R | ||||||||
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| Mailing Information | |||||||||
| Address1: | 106 CRESCENT WAY | ||||||||
| Address2: | |||||||||
| City: | MONROE TOWNSHIP | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 088313761 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6096552453 | ||||||||
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| Practice Location | |||||||||
| Address1: | 315 HUDSON ST | ||||||||
| Address2: | 2ND FLOOR | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100131009 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2123668040 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/06/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 048500 | NY | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.