Active NPIIndividual providerSole proprietor

Santa G Dastidar, LCSW

Social Worker, Clinical in Ridgewood, New Jersey

NPI Number1699332221
Practice location
162 E Ridgewood Ave Ste 2, Ridgewood, NJ 07450-3846
Fax
—
Last updated
May 20, 2019

Santa Ghosh Dastidar is a Social Worker, Clinical based in Ridgewood, NJ. Santa Ghosh Dastidar practices in Ridgewood, NJ and has the professional credentials of LCSW. The NPI Number for Santa Ghosh Dastidar is 1699332221 and holds a License No. 44SC05780000 (NJ). The current practice location address for Santa Ghosh Dastidar is 162 E Ridgewood Ave Ste 2, Ridgewood, NJ 07450-3846 and can be reached out via phone at 201-373-6336.

Provider Profile Details

NPI Number
1699332221
Provider Name
Santa Ghosh Dastidar
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
162 E Ridgewood Ave Ste 2, Ridgewood, NJ 07450-3846
Phone Number
201-373-6336
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
May 20, 2019
Last Update Date
May 20, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
162 E Ridgewood Ave Ste 2
Ridgewood, NJ 07450-3846
Zip
07450-3846
Phone Number
201-373-6336
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
162 E Ridgewood Ave Ste 2
Ridgewood, NJ 07450-3846
City
Ridgewood
State
NJ
Zip
07450-3846
Phone Number
201-373-6326

License Information

License Number
44SC05780000
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 Santa G Dastidar, LCSW?

The NPI number of Santa G Dastidar, LCSW is 1699332221. It was assigned on May 20, 2019 and is currently active in the NPPES registry.

What is the specialty of Santa G Dastidar, LCSW?

Santa G Dastidar, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05780000.

Where does Santa G Dastidar, LCSW practice?

The practice location is 162 E Ridgewood Ave Ste 2, Ridgewood, NJ 07450-3846. The office can be reached at 201-373-6336 (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 1699332221 directly on the NPPES registry website.

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