Active NPIIndividual provider

Licia A Nusbaum-Brannigan, LSW

Social Worker, Clinical in Franklin Park, New Jersey

NPI Number1538539648
Practice location
103 Crabapple Ln, Franklin Park, NJ 08823-1419
Fax
—
Last updated
October 1, 2015

Licia A Nusbaum-Brannigan is a Social Worker, Clinical based in Franklin Park, NJ. Licia A Nusbaum-Brannigan practices in Franklin Park, NJ and has the professional credentials of LSW. The NPI Number for Licia A Nusbaum-Brannigan is 1538539648 and holds a License No. 44SL05919000 (NJ). The current practice location address for Licia A Nusbaum-Brannigan is 103 Crabapple Ln, Franklin Park, NJ 08823-1419 and can be reached out via phone at 845-304-7194.

Provider Profile Details

NPI Number
1538539648
Provider Name
Licia A Nusbaum-Brannigan
Credential
LSW
Provider Entity Type
Individual
Gender
Female
Address
103 Crabapple Ln, Franklin Park, NJ 08823-1419
Phone Number
845-304-7194
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
October 1, 2015
Last Update Date
October 1, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
103 Crabapple Ln
Franklin Park, NJ 08823-1419
Zip
08823-1419
Phone Number
845-304-7194
Franklin Park, NJ 08823Get directions →

Provider Business Mailing Address Details

Address
103 Crabapple Ln
Franklin Park, NJ 08823-1419
City
Franklin Park
State
NJ
Zip
08823-1419
Phone Number
845-304-7194

License Information

License Number
44SL05919000
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 Licia A Nusbaum-Brannigan, LSW?

The NPI number of Licia A Nusbaum-Brannigan, LSW is 1538539648. It was assigned on October 1, 2015 and is currently active in the NPPES registry.

What is the specialty of Licia A Nusbaum-Brannigan, LSW?

Licia A Nusbaum-Brannigan, LSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SL05919000.

Where does Licia A Nusbaum-Brannigan, LSW practice?

The practice location is 103 Crabapple Ln, Franklin Park, NJ 08823-1419. The office can be reached at 845-304-7194 (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 1538539648 directly on the NPPES registry website.

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