Active NPIIndividual providerSole proprietor

Iesha A Crandon, LCSW

Social Worker, Clinical in Haledon, New Jersey

NPI Number1467812990
Practice location
601 Belmont Ave, Haledon, NJ 07508-1629
Fax
—
Last updated
October 17, 2020

Iesha Agnes Crandon is a Social Worker, Clinical based in Haledon, NJ. Iesha Agnes Crandon practices in Haledon, NJ and has the professional credentials of LCSW. The NPI Number for Iesha Agnes Crandon is 1467812990 and holds a License No. 44SC05868700 (NJ). The current practice location address for Iesha Agnes Crandon is 601 Belmont Ave, Haledon, NJ 07508-1629 and can be reached out via phone at 201-892-2035.

Provider Profile Details

NPI Number
1467812990
Provider Name
Iesha Agnes Crandon
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
601 Belmont Ave, Haledon, NJ 07508-1629
Phone Number
201-892-2035
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 25, 2016
Last Update Date
October 17, 2020
Certification Date
October 17, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
601 Belmont Ave
Haledon, NJ 07508-1629
Zip
07508-1629
Phone Number
201-892-2035
Haledon, NJ 07508Get directions →

Provider Business Mailing Address Details

Address
20 Crews St
Totowa, NJ 07512-2023
City
Totowa
State
NJ
Zip
07512-2023
Phone Number
201-892-2035

License Information

License Number
44SC05868700
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 Iesha A Crandon, LCSW?

The NPI number of Iesha A Crandon, LCSW is 1467812990. It was assigned on February 25, 2016 and is currently active in the NPPES registry.

What is the specialty of Iesha A Crandon, LCSW?

Iesha A Crandon, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05868700.

Where does Iesha A Crandon, LCSW practice?

The practice location is 601 Belmont Ave, Haledon, NJ 07508-1629. The office can be reached at 201-892-2035 (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 1467812990 directly on the NPPES registry website.

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