Active NPIOrganization

The Chrysalis Group, LLC

Social Worker, Clinical in Fair Lawn, New Jersey

NPI Number1215109301
Practice location
33-11 Broadway Ste 201, Fair Lawn, NJ 07410-4638
Fax
201-794-0962
Last updated
March 28, 2008

The Chrysalis Group, LLC is a healthcare organization based in Fair Lawn, NJ. The Chrysalis Group, LLC practices in Fair Lawn, NJ. The NPI Number for The Chrysalis Group, LLC is 1215109301 and holds a License No. 44SC05206200 (NJ). The current practice location address for The Chrysalis Group, LLC is 33-11 Broadway Ste 201, Fair Lawn, NJ 07410-4638 and can be reached out via phone at 201-873-8583 and via fax at 201-794-0962.

Provider Profile Details

NPI Number
1215109301
Provider Name
The Chrysalis Group, LLC
Provider Entity Type
Organization
Address
33-11 Broadway Ste 201, Fair Lawn, NJ 07410-4638
Phone Number
201-873-8583
Fax Number
201-794-0962
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Organization Subpart
No
Authorized Official
Ms. Francine Gordon, LCSW · Managing Partner · 201-873-8583
Provider Enumeration Date
March 28, 2008
Last Update Date
March 28, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
33-11 Broadway Ste 201
Fair Lawn, NJ 07410-4638
Zip
07410-4638
Phone Number
201-873-8583
Fax Number
201-794-0962
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
33-11 Broadway Ste 201
Fair Lawn, NJ 07410-4638
City
Fair Lawn
State
NJ
Zip
07410-4638
Phone Number
201-873-8583
Fax Number
201-794-0962

License Information

License Number
44SC05206200
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 The Chrysalis Group, LLC?

The NPI number of The Chrysalis Group, LLC is 1215109301. It was assigned on March 28, 2008 and is currently active in the NPPES registry.

What is the specialty of The Chrysalis Group, LLC?

The Chrysalis Group, LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05206200.

Where does The Chrysalis Group, LLC practice?

The practice location is 33-11 Broadway Ste 201, Fair Lawn, NJ 07410-4638. The office can be reached at 201-873-8583 (phone) or 201-794-0962 (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 1215109301 directly on the NPPES registry website.

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