Fajr Salaam-Goodwin, MSW, LSW
Social Worker, Clinical in West Orange, New Jersey
1295570513- Practice location
- 640 Eagle Rock Ave Ste 1, West Orange, NJ 07052-2931
- Phone
- 908-803-9550
- Fax
- —
- Last updated
- June 27, 2024
Fajr Salaam-Goodwin is a Social Worker, Clinical based in West Orange, NJ. Fajr Salaam-Goodwin practices in West Orange, NJ and has the professional credentials of MSW, LSW. The NPI Number for Fajr Salaam-Goodwin is 1295570513 and holds a License No. 44SL06379700 (NJ). The current practice location address for Fajr Salaam-Goodwin is 640 Eagle Rock Ave Ste 1, West Orange, NJ 07052-2931 and can be reached out via phone at 908-803-9550.
Provider Profile Details
- NPI Number
- 1295570513
- Provider Name
- Fajr Salaam-Goodwin
- Credential
- MSW, LSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 640 Eagle Rock Ave Ste 1, West Orange, NJ 07052-2931
- Phone Number
- 908-803-9550
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 27, 2024
- Last Update Date
- June 27, 2024
- Certification Date
- June 27, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 640 Eagle Rock Ave Ste 1
West Orange, NJ 07052-2931 - City
- West Orange
- State
- New Jersey
- Zip
- 07052-2931
- Phone Number
- 908-803-9550
Provider Business Mailing Address Details
- Address
- 21 Patton Dr Apt A
Bloomfield, NJ 07003-5283 - City
- Bloomfield
- State
- NJ
- Zip
- 07003-5283
- Phone Number
- 908-803-9550
License Information
- License Number
- 44SL06379700
- License State
- NJ
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near West Orange, NJ
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Frequently Asked Questions
What is the NPI number of Fajr Salaam-Goodwin, MSW, LSW?
The NPI number of Fajr Salaam-Goodwin, MSW, LSW is 1295570513. It was assigned on June 27, 2024 and is currently active in the NPPES registry.
What is the specialty of Fajr Salaam-Goodwin, MSW, LSW?
Fajr Salaam-Goodwin, MSW, LSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SL06379700.
Where does Fajr Salaam-Goodwin, MSW, LSW practice?
The practice location is 640 Eagle Rock Ave Ste 1, West Orange, NJ 07052-2931. The office can be reached at 908-803-9550 (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 1295570513 directly on the NPPES registry website.