Active NPIIndividual providerSole proprietor

Mary E Fassnacht, LCSW

Social Worker, Clinical in Midland Park, New Jersey

NPI Number1245703909
Practice location
317 Godwin Ave, Midland Park, NJ 07432-1519
Fax
—
Last updated
January 5, 2019

Mary Ellen Fassnacht is a Social Worker, Clinical based in Midland Park, NJ. Mary Ellen Fassnacht practices in Midland Park, NJ and has the professional credentials of LCSW. The NPI Number for Mary Ellen Fassnacht is 1245703909 and holds a License No. 44sc05420600 (NJ). The current practice location address for Mary Ellen Fassnacht is 317 Godwin Ave, Midland Park, NJ 07432-1519 and can be reached out via phone at 973-722-9831.

Provider Profile Details

NPI Number
1245703909
Provider Name
Mary Ellen Fassnacht
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
317 Godwin Ave, Midland Park, NJ 07432-1519
Phone Number
973-722-9831
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 5, 2019
Last Update Date
January 5, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
317 Godwin Ave
Midland Park, NJ 07432-1519
Zip
07432-1519
Phone Number
973-722-9831
Midland Park, NJ 07432Get directions →

Provider Business Mailing Address Details

Address
4 Rathbun RD
Towaco, NJ 07082-1207
City
Towaco
State
NJ
Zip
07082-1207

License Information

License Number
44sc05420600
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 Mary E Fassnacht, LCSW?

The NPI number of Mary E Fassnacht, LCSW is 1245703909. It was assigned on January 5, 2019 and is currently active in the NPPES registry.

What is the specialty of Mary E Fassnacht, LCSW?

Mary E Fassnacht, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44sc05420600.

Where does Mary E Fassnacht, LCSW practice?

The practice location is 317 Godwin Ave, Midland Park, NJ 07432-1519. The office can be reached at 973-722-9831 (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 1245703909 directly on the NPPES registry website.

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