Active NPIIndividual providerSole proprietor

Ms. Valerie A Mitchell Fadil, LCSW

Social Worker, Clinical in Bayonne, New Jersey

NPI Number1053484519
Practice location
497 Broadway, Suite C, Bayonne, NJ 07002-3710
Fax
973-773-0413
Last updated
July 8, 2007

Valerie Anne Mitchell Fadil is a Social Worker, Clinical based in Bayonne, NJ. Valerie Anne Mitchell Fadil practices in Bayonne, NJ and has the professional credentials of LCSW. The NPI Number for Valerie Anne Mitchell Fadil is 1053484519 and holds a License No. 1041c0700x (NJ). The current practice location address for Valerie Anne Mitchell Fadil is 497 Broadway, Suite C, Bayonne, NJ 07002-3710 and can be reached out via phone at 973-725-0616 and via fax at 973-773-0413.

Provider Profile Details

NPI Number
1053484519
Provider Name
Valerie Anne Mitchell Fadil
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
497 Broadway, Suite C, Bayonne, NJ 07002-3710
Phone Number
973-725-0616
Fax Number
973-773-0413
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 15, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
497 Broadway
Suite C
Bayonne, NJ 07002-3710
Zip
07002-3710
Phone Number
973-725-0616
Fax Number
973-773-0413
Bayonne, NJ 07002Get directions →

Provider Business Mailing Address Details

Address
900 Valley RD
# F8
Clifton, NJ 07013-4042
City
Clifton
State
NJ
Zip
07013-4042
Phone Number
973-725-0616
Fax Number
973-773-0413

License Information

License Number
1041c0700x
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 Ms. Valerie A Mitchell Fadil, LCSW?

The NPI number of Ms. Valerie A Mitchell Fadil, LCSW is 1053484519. It was assigned on November 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Valerie A Mitchell Fadil, LCSW?

Ms. Valerie A Mitchell Fadil, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 1041c0700x.

Where does Ms. Valerie A Mitchell Fadil, LCSW practice?

The practice location is 497 Broadway, Suite C, Bayonne, NJ 07002-3710. The office can be reached at 973-725-0616 (phone) or 973-773-0413 (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 1053484519 directly on the NPPES registry website.

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