Active NPIIndividual provider

Ms. Maryellen L Walkowich, LCSW

Social Worker, Clinical in Boonton, New Jersey

NPI Number1669655320
Practice location
130 Powerville RD, Boonton, NJ 07005-8705
Fax
973-299-5466
Last updated
December 17, 2007

Maryellen Louise Walkowich is a Social Worker, Clinical based in Boonton, NJ. Maryellen Louise Walkowich practices in Boonton, NJ and has the professional credentials of LCSW. The NPI Number for Maryellen Louise Walkowich is 1669655320 and holds a License No. 44SCOO29OOOO (NJ). The current practice location address for Maryellen Louise Walkowich is 130 Powerville RD, Boonton, NJ 07005-8705 and can be reached out via phone at 973-317-1978 and via fax at 973-299-5466.

Provider Profile Details

NPI Number
1669655320
Provider Name
Maryellen Louise Walkowich
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
130 Powerville RD, Boonton, NJ 07005-8705
Phone Number
973-317-1978
Fax Number
973-299-5466
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
December 17, 2007
Last Update Date
December 17, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 Powerville RD
Boonton, NJ 07005-8705
Zip
07005-8705
Phone Number
973-317-1978
Fax Number
973-299-5466
Boonton, NJ 07005Get directions →

Provider Business Mailing Address Details

Address
130 Powerville RD
Boonton, NJ 07005-8705
City
Boonton
State
NJ
Zip
07005-8705
Phone Number
973-317-1978
Fax Number
973-299-5466

License Information

License Number (1)
44SCOO29OOOO
License State (1)
NJ
Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
44SCOO29OOOO
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 Ms. Maryellen L Walkowich, LCSW?

The NPI number of Ms. Maryellen L Walkowich, LCSW is 1669655320. It was assigned on December 17, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Maryellen L Walkowich, LCSW?

Ms. Maryellen L Walkowich, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SCOO29OOOO.

Where does Ms. Maryellen L Walkowich, LCSW practice?

The practice location is 130 Powerville RD, Boonton, NJ 07005-8705. The office can be reached at 973-317-1978 (phone) or 973-299-5466 (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 1669655320 directly on the NPPES registry website.

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