Active NPIIndividual providerSole proprietor

Mr. Patrick B Granelli, LCSW

Social Worker, Clinical in Ridgewood, New Jersey

NPI Number1306181938
Practice location
112 Prospect St, Ridgewood, NJ 07450-4489
Fax
201-444-0698
Last updated
December 8, 2012

Patrick Bryan Granelli is a Social Worker, Clinical based in Ridgewood, NJ. Patrick Bryan Granelli practices in Ridgewood, NJ and has the professional credentials of LCSW. The NPI Number for Patrick Bryan Granelli is 1306181938 and holds a License No. 44SC05512300 (NJ). The current practice location address for Patrick Bryan Granelli is 112 Prospect St, Ridgewood, NJ 07450-4489 and can be reached out via phone at 201-674-3673 and via fax at 201-444-0698.

Provider Profile Details

NPI Number
1306181938
Provider Name
Patrick Bryan Granelli
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
112 Prospect St, Ridgewood, NJ 07450-4489
Phone Number
201-674-3673
Fax Number
201-444-0698
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 8, 2012
Last Update Date
December 8, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
112 Prospect St
Ridgewood, NJ 07450-4489
Zip
07450-4489
Phone Number
201-674-3673
Fax Number
201-444-0698
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
16 Westervelt Ave
Hawthorne, NJ 07506-3817
City
Hawthorne
State
NJ
Zip
07506-3817
Phone Number
201-674-3673
Fax Number
201-444-0698

License Information

License Number
44SC05512300
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 Mr. Patrick B Granelli, LCSW?

The NPI number of Mr. Patrick B Granelli, LCSW is 1306181938. It was assigned on December 8, 2012 and is currently active in the NPPES registry.

What is the specialty of Mr. Patrick B Granelli, LCSW?

Mr. Patrick B Granelli, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05512300.

Where does Mr. Patrick B Granelli, LCSW practice?

The practice location is 112 Prospect St, Ridgewood, NJ 07450-4489. The office can be reached at 201-674-3673 (phone) or 201-444-0698 (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 1306181938 directly on the NPPES registry website.

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