Tadayah Pulliam, MSW, LCSW
Social Worker, Clinical in Bloomfield, New Jersey
1760145007- Practice location
- 299 Glenwood Ave Ste 201, Bloomfield, NJ 07003-2445
- Phone
- 862-704-4645
- Fax
- —
- Last updated
- September 7, 2023
Tadayah Pulliam is a Social Worker, Clinical based in Bloomfield, NJ. Tadayah Pulliam practices in Bloomfield, NJ and has the professional credentials of MSW, LCSW. The NPI Number for Tadayah Pulliam is 1760145007 and holds a License No. 44SC06023700 (NJ). The current practice location address for Tadayah Pulliam is 299 Glenwood Ave Ste 201, Bloomfield, NJ 07003-2445 and can be reached out via phone at 862-704-4645.
Provider Profile Details
- NPI Number
- 1760145007
- Provider Name
- Tadayah Pulliam
- Credential
- MSW, LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 299 Glenwood Ave Ste 201, Bloomfield, NJ 07003-2445
- Phone Number
- 862-704-4645
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 13, 2021
- Last Update Date
- September 7, 2023
- Certification Date
- September 7, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 299 Glenwood Ave Ste 201
Bloomfield, NJ 07003-2445 - City
- Bloomfield
- State
- New Jersey
- Zip
- 07003-2445
- Phone Number
- 862-704-4645
Provider Business Mailing Address Details
- Address
- 299 Glenwood Ave Ste 201
Bloomfield, NJ 07003-2445 - City
- Bloomfield
- State
- NJ
- Zip
- 07003-2445
- Phone Number
- 862-704-4645
License Information
- License Number
- 44SC06023700
- License State
- NJ
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Tadayah Pulliam, MSW, LCSW?
The NPI number of Tadayah Pulliam, MSW, LCSW is 1760145007. It was assigned on October 13, 2021 and is currently active in the NPPES registry.
What is the specialty of Tadayah Pulliam, MSW, LCSW?
Tadayah Pulliam, MSW, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC06023700.
Where does Tadayah Pulliam, MSW, LCSW practice?
The practice location is 299 Glenwood Ave Ste 201, Bloomfield, NJ 07003-2445. The office can be reached at 862-704-4645 (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 1760145007 directly on the NPPES registry website.