Active NPIIndividual providerSole proprietor

Virginia Mickolajczyk

Social Worker, Clinical in Fair Lawn, New Jersey

NPI Number1770649790
Practice location
4-21 Banta Pl # A, Fair Lawn, NJ 07410-3067
Fax
201-794-9001
Last updated
July 8, 2007

Virginia Mickolajczyk is a Social Worker, Clinical based in Fair Lawn, NJ. Virginia Mickolajczyk practices in Fair Lawn, NJ. The NPI Number for Virginia Mickolajczyk is 1770649790 and holds a License No. SC005751 (NJ). The current practice location address for Virginia Mickolajczyk is 4-21 Banta Pl # A, Fair Lawn, NJ 07410-3067 and can be reached out via phone at 201-794-9000 and via fax at 201-794-9001.

Provider Profile Details

NPI Number
1770649790
Provider Name
Virginia Mickolajczyk
Provider Entity Type
Individual
Gender
Female
Address
4-21 Banta Pl # A, Fair Lawn, NJ 07410-3067
Phone Number
201-794-9000
Fax Number
201-794-9001
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
-- Virginia Connelly, LCSW (Professional Name)
Provider Enumeration Date
December 28, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
4-21 Banta Pl # A
Fair Lawn, NJ 07410-3067
Zip
07410-3067
Phone Number
201-794-9000
Fax Number
201-794-9001
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
0-14 Whitehall St
Fair Lawn, NJ 07410-2913
City
Fair Lawn
State
NJ
Zip
07410-2913
Phone Number
201-791-7669
Fax Number
201-791-8223

License Information

License Number
SC005751
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 Virginia Mickolajczyk?

The NPI number of Virginia Mickolajczyk is 1770649790. It was assigned on December 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Virginia Mickolajczyk?

Virginia Mickolajczyk is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number SC005751.

Where does Virginia Mickolajczyk practice?

The practice location is 4-21 Banta Pl # A, Fair Lawn, NJ 07410-3067. The office can be reached at 201-794-9000 (phone) or 201-794-9001 (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 1770649790 directly on the NPPES registry website.

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