Active NPIIndividual provider

Dr. Evelyn J Nieves, PHD LCSW

Social Worker, Clinical in Fanwood, New Jersey

NPI Number1649483959
Practice location
121 La Grande Ave, Fanwood, NJ 07023-1556
Fax
908-490-1194
Last updated
May 26, 2008

Evelyn Josefa Nieves is a Social Worker, Clinical based in Fanwood, NJ. Evelyn Josefa Nieves practices in Fanwood, NJ and has the professional credentials of PHD LCSW. The NPI Number for Evelyn Josefa Nieves is 1649483959 and holds a License No. 44SC05339000 (NJ). The current practice location address for Evelyn Josefa Nieves is 121 La Grande Ave, Fanwood, NJ 07023-1556 and can be reached out via phone at 908-644-5556 and via fax at 908-490-1194.

Provider Profile Details

NPI Number
1649483959
Provider Name
Evelyn Josefa Nieves
Credential
PHD LCSW
Provider Entity Type
Individual
Gender
Female
Address
121 La Grande Ave, Fanwood, NJ 07023-1556
Phone Number
908-644-5556
Fax Number
908-490-1194
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
May 7, 2007
Last Update Date
May 26, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
121 La Grande Ave
Fanwood, NJ 07023-1556
Zip
07023-1556
Phone Number
908-644-5556
Fax Number
908-490-1194
Fanwood, NJ 07023Get directions →

Provider Business Mailing Address Details

Address
121 La Grande Ave
Fanwood, NJ 07023-1556
City
Fanwood
State
NJ
Zip
07023-1556
Phone Number
908-644-5556

License Information

License Number
44SC05339000
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 Dr. Evelyn J Nieves, PHD LCSW?

The NPI number of Dr. Evelyn J Nieves, PHD LCSW is 1649483959. It was assigned on May 7, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Evelyn J Nieves, PHD LCSW?

Dr. Evelyn J Nieves, PHD LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05339000.

Where does Dr. Evelyn J Nieves, PHD LCSW practice?

The practice location is 121 La Grande Ave, Fanwood, NJ 07023-1556. The office can be reached at 908-644-5556 (phone) or 908-490-1194 (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 1649483959 directly on the NPPES registry website.

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