Active NPIIndividual providerSole proprietor

Susan Korn, LCSW

Social Worker, Clinical in Montclair, New Jersey

NPI Number1063559185
Practice location
103 Park St Ste 2A, Montclair, NJ 07042-2935
Fax
973-744-1188
Last updated
January 15, 2009

Susan Korn is a Social Worker, Clinical based in Montclair, NJ. Susan Korn practices in Montclair, NJ and has the professional credentials of LCSW. The NPI Number for Susan Korn is 1063559185 and holds a License No. SC08642 (NJ). The current practice location address for Susan Korn is 103 Park St Ste 2A, Montclair, NJ 07042-2935 and can be reached out via phone at 973-746-1065 and via fax at 973-744-1188.

Provider Profile Details

NPI Number
1063559185
Provider Name
Susan Korn
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
103 Park St Ste 2A, Montclair, NJ 07042-2935
Phone Number
973-746-1065
Fax Number
973-744-1188
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 30, 2007
Last Update Date
January 15, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
103 Park St Ste 2A
Montclair, NJ 07042-2935
Zip
07042-2935
Phone Number
973-746-1065
Fax Number
973-744-1188
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
103 Park St Ste 2A
Montclair, NJ 07042-2935
City
Montclair
State
NJ
Zip
07042-2935
Phone Number
973-746-1065
Fax Number
973-744-1188

License Information

License Number
SC08642
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 Susan Korn, LCSW?

The NPI number of Susan Korn, LCSW is 1063559185. It was assigned on January 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Susan Korn, LCSW?

Susan Korn, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number SC08642.

Where does Susan Korn, LCSW practice?

The practice location is 103 Park St Ste 2A, Montclair, NJ 07042-2935. The office can be reached at 973-746-1065 (phone) or 973-744-1188 (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 1063559185 directly on the NPPES registry website.

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