Active NPIIndividual providerSole proprietor

Deborah R Kourgelis, LCSW

Social Worker, Clinical in Ridgewood, New Jersey

NPI Number1700029477
Practice location
163 Dayton St, Ridgewood, NJ 07450-4407
Fax
—
Last updated
April 10, 2009

Deborah R. Kourgelis is a Social Worker, Clinical based in Ridgewood, NJ. Deborah R. Kourgelis practices in Ridgewood, NJ and has the professional credentials of LCSW. The NPI Number for Deborah R. Kourgelis is 1700029477 and holds a License No. 44SC05300400 (NJ). The current practice location address for Deborah R. Kourgelis is 163 Dayton St, Ridgewood, NJ 07450-4407 and can be reached out via phone at 201-694-1648.

Provider Profile Details

NPI Number
1700029477
Provider Name
Deborah R. Kourgelis
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
163 Dayton St, Ridgewood, NJ 07450-4407
Phone Number
201-694-1648
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
April 10, 2009
Last Update Date
April 10, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
163 Dayton St
Ridgewood, NJ 07450-4407
Zip
07450-4407
Phone Number
201-694-1648
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
115 Franklin Tpke # 198
Mahwah, NJ 07430-1325
City
Mahwah
State
NJ
Zip
07430-1325
Phone Number
201-529-3531

License Information

License Number
44SC05300400
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.

Other Social Worker, Clinical providers near Ridgewood, NJ

View all Social Worker, Clinical providers in Ridgewood →

Frequently Asked Questions

What is the NPI number of Deborah R Kourgelis, LCSW?

The NPI number of Deborah R Kourgelis, LCSW is 1700029477. It was assigned on April 10, 2009 and is currently active in the NPPES registry.

What is the specialty of Deborah R Kourgelis, LCSW?

Deborah R Kourgelis, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05300400.

Where does Deborah R Kourgelis, LCSW practice?

The practice location is 163 Dayton St, Ridgewood, NJ 07450-4407. The office can be reached at 201-694-1648 (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 1700029477 directly on the NPPES registry website.

Browse related providers