Active NPIIndividual provider

Mrs. Susan J Donnelly, LCSW

Social Worker in Ridgewood, New Jersey

NPI Number1669588968
Practice location
115 Pine Street, Ridgewood, NJ 07450
Fax
201-445-2354
Last updated
March 20, 2013

Susan Joan Donnelly is a Social Worker based in Ridgewood, NJ. Susan Joan Donnelly practices in Ridgewood, NJ and has the professional credentials of LCSW. The NPI Number for Susan Joan Donnelly is 1669588968 and holds a License No. 44SC00206800 (NJ). The current practice location address for Susan Joan Donnelly is 115 Pine Street, Ridgewood, NJ 07450 and can be reached out via phone at 201-447-0364 and via fax at 201-445-2354.

Provider Profile Details

NPI Number
1669588968
Provider Name
Susan Joan Donnelly
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
115 Pine Street, Ridgewood, NJ 07450
Phone Number
201-447-0364
Fax Number
201-445-2354
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Other Names
-- Susan Joan Donnelly, LCSW (Professional Name)
Provider Enumeration Date
August 21, 2006
Last Update Date
March 20, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
115 Pine Street
Ridgewood, NJ 07450
Zip
07450
Phone Number
201-447-0364
Fax Number
201-445-2354
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
115 Pine St
Ridgewood, NJ 07450-1619
City
Ridgewood
State
NJ
Zip
07450-1619
Phone Number
201-447-0364
Fax Number
201-445-2354

License Information

License Number
44SC00206800
License State
NJ
Taxonomy
Social Worker · 104100000X · 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. Susan J Donnelly, LCSW?

The NPI number of Mrs. Susan J Donnelly, LCSW is 1669588968. It was assigned on August 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Susan J Donnelly, LCSW?

Mrs. Susan J Donnelly, LCSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NJ under license number 44SC00206800.

Where does Mrs. Susan J Donnelly, LCSW practice?

The practice location is 115 Pine Street, Ridgewood, NJ 07450. The office can be reached at 201-447-0364 (phone) or 201-445-2354 (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 1669588968 directly on the NPPES registry website.

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