Active NPIIndividual providerSole proprietor

John Reilly, LCSW

Social Worker, Clinical in Ridgewood, New Jersey

NPI Number1720475528
Practice location
201 E Ridgewood Ave, 2, Ridgewood, NJ 07450-3864
Fax
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Last updated
April 20, 2015

John Reilly is a Social Worker, Clinical based in Ridgewood, NJ. John Reilly practices in Ridgewood, NJ and has the professional credentials of LCSW. The NPI Number for John Reilly is 1720475528 and holds a License No. 44sc04408300 (NJ). The current practice location address for John Reilly is 201 E Ridgewood Ave, 2, Ridgewood, NJ 07450-3864 and can be reached out via phone at 201-723-2473.

Provider Profile Details

NPI Number
1720475528
Provider Name
John Reilly
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
201 E Ridgewood Ave, 2, Ridgewood, NJ 07450-3864
Phone Number
201-723-2473
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
April 20, 2015
Last Update Date
April 20, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 E Ridgewood Ave
2
Ridgewood, NJ 07450-3864
Zip
07450-3864
Phone Number
201-723-2473
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
489 Franklin Ave
None
Wyckoff, NJ 07481-1345
City
Wyckoff
State
NJ
Zip
07481-1345
Phone Number
201-723-2473

License Information

License Number
44sc04408300
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 John Reilly, LCSW?

The NPI number of John Reilly, LCSW is 1720475528. It was assigned on April 20, 2015 and is currently active in the NPPES registry.

What is the specialty of John Reilly, LCSW?

John Reilly, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44sc04408300.

Where does John Reilly, LCSW practice?

The practice location is 201 E Ridgewood Ave, 2, Ridgewood, NJ 07450-3864. The office can be reached at 201-723-2473 (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 1720475528 directly on the NPPES registry website.

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