Active NPIIndividual providerSole proprietor

Mrs. Ana R Grullon, LCSW

Social Worker, Clinical in Bayonne, New Jersey

NPI Number1659726925
Practice location
670 Avenue C, Bayonne, NJ 07002-2803
Fax
—
Last updated
June 16, 2023

Ana Raquel Grullon is a Social Worker, Clinical based in Bayonne, NJ. Ana Raquel Grullon practices in Bayonne, NJ and has the professional credentials of LCSW. The NPI Number for Ana Raquel Grullon is 1659726925 and holds a License No. 105635 (TX). The current practice location address for Ana Raquel Grullon is 670 Avenue C, Bayonne, NJ 07002-2803 and can be reached out via phone at 201-485-6352.

Provider Profile Details

NPI Number
1659726925
Provider Name
Ana Raquel Grullon
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
670 Avenue C, Bayonne, NJ 07002-2803
Phone Number
201-485-6352
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
April 25, 2016
Last Update Date
June 16, 2023
Certification Date
June 16, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
670 Avenue C
Bayonne, NJ 07002-2803
Zip
07002-2803
Phone Number
201-485-6352
Bayonne, NJ 07002Get directions →

Provider Business Mailing Address Details

Address
670 Avenue C
Bayonne, NJ 07002-2803
City
Bayonne
State
NJ
Zip
07002-2803
Phone Number
201-485-6352

License Information

License Number (1)
105635
License State (1)
TX
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
44SC05827300
License State (2)
NJ
Taxonomy (2)
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 Mrs. Ana R Grullon, LCSW?

The NPI number of Mrs. Ana R Grullon, LCSW is 1659726925. It was assigned on April 25, 2016 and is currently active in the NPPES registry.

What is the specialty of Mrs. Ana R Grullon, LCSW?

Mrs. Ana R Grullon, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in TX under license number 105635.

Where does Mrs. Ana R Grullon, LCSW practice?

The practice location is 670 Avenue C, Bayonne, NJ 07002-2803. The office can be reached at 201-485-6352 (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 1659726925 directly on the NPPES registry website.

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