Active NPIIndividual providerSole proprietor

Anna Fudim-Kirshblum, LCSW

Social Worker, Clinical in West Orange, New Jersey

NPI Number1821569013
Practice location
71 Woodland Ave, West Orange, NJ 07052-2930
Fax
—
Last updated
February 23, 2021

Anna Fudim-Kirshblum is a Social Worker, Clinical based in West Orange, NJ. Anna Fudim-Kirshblum practices in West Orange, NJ and has the professional credentials of LCSW. The NPI Number for Anna Fudim-Kirshblum is 1821569013 and holds a License No. 44SC05795800 (NJ). The current practice location address for Anna Fudim-Kirshblum is 71 Woodland Ave, West Orange, NJ 07052-2930 and can be reached out via phone at 862-250-2423.

Provider Profile Details

NPI Number
1821569013
Provider Name
Anna Fudim-Kirshblum
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
71 Woodland Ave, West Orange, NJ 07052-2930
Phone Number
862-250-2423
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 16, 2018
Last Update Date
February 23, 2021
Certification Date
February 23, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
71 Woodland Ave
West Orange, NJ 07052-2930
Zip
07052-2930
Phone Number
862-250-2423
West Orange, NJ 07052Get directions →

Provider Business Mailing Address Details

Address
71 Woodland Ave
West Orange, NJ 07052-2930
City
West Orange
State
NJ
Zip
07052-2930
Phone Number
973-449-0401

License Information

License Number (1)
44SC05795800
License State (1)
NJ
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

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 Anna Fudim-Kirshblum, LCSW?

The NPI number of Anna Fudim-Kirshblum, LCSW is 1821569013. It was assigned on December 16, 2018 and is currently active in the NPPES registry.

What is the specialty of Anna Fudim-Kirshblum, LCSW?

Anna Fudim-Kirshblum, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05795800.

Where does Anna Fudim-Kirshblum, LCSW practice?

The practice location is 71 Woodland Ave, West Orange, NJ 07052-2930. The office can be reached at 862-250-2423 (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 1821569013 directly on the NPPES registry website.

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