Active NPIIndividual providerSole proprietor

Mindy R Patrisso

Social Worker, Clinical in Caldwell, New Jersey

NPI Number1194379156
Practice location
12 Smull Ave, Caldwell, NJ 07006-5012
Fax
—
Last updated
July 29, 2019

Mindy Robin Patrisso is a Social Worker, Clinical based in Caldwell, NJ. Mindy Robin Patrisso practices in Caldwell, NJ. The NPI Number for Mindy Robin Patrisso is 1194379156 and holds a License No. 44SC04945100 (NJ). The current practice location address for Mindy Robin Patrisso is 12 Smull Ave, Caldwell, NJ 07006-5012 and can be reached out via phone at 973-494-4068.

Provider Profile Details

NPI Number
1194379156
Provider Name
Mindy Robin Patrisso
Provider Entity Type
Individual
Gender
Female
Address
12 Smull Ave, Caldwell, NJ 07006-5012
Phone Number
973-494-4068
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 29, 2019
Last Update Date
July 29, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Smull Ave
Caldwell, NJ 07006-5012
Zip
07006-5012
Phone Number
973-494-4068
Caldwell, NJ 07006Get directions →

Provider Business Mailing Address Details

Address
58 Annin RD
West Caldwell, NJ 07006-6811
City
West Caldwell
State
NJ
Zip
07006-6811
Phone Number
973-494-4068

License Information

License Number
44SC04945100
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 Mindy R Patrisso?

The NPI number of Mindy R Patrisso is 1194379156. It was assigned on July 29, 2019 and is currently active in the NPPES registry.

What is the specialty of Mindy R Patrisso?

Mindy R Patrisso is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC04945100.

Where does Mindy R Patrisso practice?

The practice location is 12 Smull Ave, Caldwell, NJ 07006-5012. The office can be reached at 973-494-4068 (phone).

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 1194379156 directly on the NPPES registry website.

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