Active NPIIndividual provider

Mr. Phillip Samuel-Siegel, LCSW

Social Worker, Clinical in Boonton, New Jersey

NPI Number1043372030
Practice location
130 Powerville RD, Boonton, NJ 07005-8705
Fax
973-316-1920
Last updated
July 8, 2007

Phillip Samuel-Siegel is a Social Worker, Clinical based in Boonton, NJ. Phillip Samuel-Siegel practices in Boonton, NJ and has the professional credentials of LCSW. The NPI Number for Phillip Samuel-Siegel is 1043372030 and holds a License No. 44SC05268300 (NJ). The current practice location address for Phillip Samuel-Siegel is 130 Powerville RD, Boonton, NJ 07005-8705 and can be reached out via phone at 973-316-1869 and via fax at 973-316-1920.

Provider Profile Details

NPI Number
1043372030
Provider Name
Phillip Samuel-Siegel
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
130 Powerville RD, Boonton, NJ 07005-8705
Phone Number
973-316-1869
Fax Number
973-316-1920
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
Mr. Phillip Samuel-Siegel, LCSW (Professional Name)
Provider Enumeration Date
December 15, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 Powerville RD
Boonton, NJ 07005-8705
Zip
07005-8705
Phone Number
973-316-1869
Fax Number
973-316-1920
Boonton, NJ 07005Get directions →

Provider Business Mailing Address Details

Address
130 Powerville RD
Boonton, NJ 07005-8705
City
Boonton
State
NJ
Zip
07005-8705
Phone Number
973-316-1869
Fax Number
973-316-1920

License Information

License Number
44SC05268300
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Phillip Samuel-Siegel, LCSW?

The NPI number of Mr. Phillip Samuel-Siegel, LCSW is 1043372030. It was assigned on December 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Phillip Samuel-Siegel, LCSW?

Mr. Phillip Samuel-Siegel, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05268300.

Where does Mr. Phillip Samuel-Siegel, LCSW practice?

The practice location is 130 Powerville RD, Boonton, NJ 07005-8705. The office can be reached at 973-316-1869 (phone) or 973-316-1920 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043372030 directly on the NPPES registry website.

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