Provider Demographics
NPI:1407651003
Name:BECKER, LORETTA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:LORETTA
Middle Name:
Last Name:BECKER
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2352 BELLA ROSA CT
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08361-7419
Mailing Address - Country:US
Mailing Address - Phone:609-364-8661
Mailing Address - Fax:
Practice Address - Street 1:2352 BELLA ROSA CT
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08361-7419
Practice Address - Country:US
Practice Address - Phone:609-364-8661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC046409001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical