Active NPIIndividual providerSole proprietor

Jeffrey Doorn, LCSW

Social Worker, Clinical in Montclair, New Jersey

NPI Number1538357272
Practice location
460 Bloomfield Avenue, Suite 209, Montclair, NJ 07042
Fax
201-438-7293
Last updated
February 16, 2022

Jeffrey Doorn is a Social Worker, Clinical based in Montclair, NJ. Jeffrey Doorn practices in Montclair, NJ and has the professional credentials of LCSW. The NPI Number for Jeffrey Doorn is 1538357272 and holds a License No. 44SC04552200 (NJ). The current practice location address for Jeffrey Doorn is 460 Bloomfield Avenue, Suite 209, Montclair, NJ 07042 and can be reached out via phone at 201-650-2815 and via fax at 201-438-7293.

Provider Profile Details

NPI Number
1538357272
Provider Name
Jeffrey Doorn
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
460 Bloomfield Avenue, Suite 209, Montclair, NJ 07042
Phone Number
201-650-2815
Fax Number
201-438-7293
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 9, 2007
Last Update Date
February 16, 2022
Certification Date
February 16, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
460 Bloomfield Avenue
Suite 209
Montclair, NJ 07042
Zip
07042
Phone Number
201-650-2815
Fax Number
201-438-7293
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
460 Bloomfield Ave
Suite 305
Montclair, NJ 07042-3582
City
Montclair
State
NJ
Zip
07042-3582
Phone Number
201-650-2815
Fax Number
201-438-7293

License Information

License Number
44SC04552200
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 Jeffrey Doorn, LCSW?

The NPI number of Jeffrey Doorn, LCSW is 1538357272. It was assigned on October 9, 2007 and is currently active in the NPPES registry.

What is the specialty of Jeffrey Doorn, LCSW?

Jeffrey Doorn, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC04552200.

Where does Jeffrey Doorn, LCSW practice?

The practice location is 460 Bloomfield Avenue, Suite 209, Montclair, NJ 07042. The office can be reached at 201-650-2815 (phone) or 201-438-7293 (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 1538357272 directly on the NPPES registry website.

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