Active NPIIndividual providerSole proprietor

Sandra D Ivey-Prusinowski, LCSW

Social Worker in Maplewood, New Jersey

NPI Number1154689552
Practice location
2040 Millburn Ave Ste 205, Maplewood, NJ 07040-3716
Fax
973-761-7214
Last updated
June 29, 2016

Sandra D Ivey-Prusinowski is a Social Worker based in Maplewood, NJ. Sandra D Ivey-Prusinowski practices in Maplewood, NJ and has the professional credentials of LCSW. The NPI Number for Sandra D Ivey-Prusinowski is 1154689552 and holds a License No. 44Sl05548300 (NJ). The current practice location address for Sandra D Ivey-Prusinowski is 2040 Millburn Ave Ste 205, Maplewood, NJ 07040-3716 and can be reached out via phone at 201-207-7268 and via fax at 973-761-7214.

Provider Profile Details

NPI Number
1154689552
Provider Name
Sandra D Ivey-Prusinowski
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
2040 Millburn Ave Ste 205, Maplewood, NJ 07040-3716
Phone Number
201-207-7268
Fax Number
973-761-7214
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
April 24, 2012
Last Update Date
June 29, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
2040 Millburn Ave Ste 205
Maplewood, NJ 07040-3716
Zip
07040-3716
Phone Number
201-207-7268
Fax Number
973-761-7214
Maplewood, NJ 07040Get directions →

Provider Business Mailing Address Details

Address
2040 Millburn Ave Ste 205
Maplewood, NJ 07040-3716
City
Maplewood
State
NJ
Zip
07040-3716
Phone Number
201-207-7268
Fax Number
973-761-7214

License Information

License Number
44Sl05548300
License State
NJ
Taxonomy
Social Worker · 104100000X · 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 Sandra D Ivey-Prusinowski, LCSW?

The NPI number of Sandra D Ivey-Prusinowski, LCSW is 1154689552. It was assigned on April 24, 2012 and is currently active in the NPPES registry.

What is the specialty of Sandra D Ivey-Prusinowski, LCSW?

Sandra D Ivey-Prusinowski, LCSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NJ under license number 44Sl05548300.

Where does Sandra D Ivey-Prusinowski, LCSW practice?

The practice location is 2040 Millburn Ave Ste 205, Maplewood, NJ 07040-3716. The office can be reached at 201-207-7268 (phone) or 973-761-7214 (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 1154689552 directly on the NPPES registry website.

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