Active NPIIndividual providerSole proprietor

Elliot Shestack

Social Worker, Clinical in Clifton, New Jersey

NPI Number1558842047
Practice location
777 Bloomfield Ave, Clifton, NJ 07012-1242
Fax
—
Last updated
August 23, 2018

Elliot Shestack is a Social Worker, Clinical based in Clifton, NJ. Elliot Shestack practices in Clifton, NJ. The NPI Number for Elliot Shestack is 1558842047. The current practice location address for Elliot Shestack is 777 Bloomfield Ave, Clifton, NJ 07012-1242 and can be reached out via phone at 973-594-0125.

Provider Profile Details

NPI Number
1558842047
Provider Name
Elliot Shestack
Provider Entity Type
Individual
Gender
Male
Address
777 Bloomfield Ave, Clifton, NJ 07012-1242
Phone Number
973-594-0125
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 23, 2018
Last Update Date
August 23, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
777 Bloomfield Ave
Clifton, NJ 07012-1242
Zip
07012-1242
Phone Number
973-594-0125
Clifton, NJ 07012Get directions →

Provider Business Mailing Address Details

Address
777 Bloomfield Ave
Clifton, NJ 07012-1242
City
Clifton
State
NJ
Zip
07012-1242

License Information

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 Elliot Shestack?

The NPI number of Elliot Shestack is 1558842047. It was assigned on August 23, 2018 and is currently active in the NPPES registry.

What is the specialty of Elliot Shestack?

Elliot Shestack is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Elliot Shestack practice?

The practice location is 777 Bloomfield Ave, Clifton, NJ 07012-1242. The office can be reached at 973-594-0125 (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 1558842047 directly on the NPPES registry website.

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