Active NPIIndividual providerSole proprietor

Valery E Fradkov, LCSW

Social Worker, Clinical in Fair Lawn, New Jersey

NPI Number1841427663
Practice location
3100 Broadway, Fair Lawn, NJ 07410-3963
Fax
—
Last updated
August 10, 2009

Valery Eugene Fradkov is a Social Worker, Clinical based in Fair Lawn, NJ. Valery Eugene Fradkov practices in Fair Lawn, NJ and has the professional credentials of LCSW. The NPI Number for Valery Eugene Fradkov is 1841427663 and holds a License No. 44SC05391100 (NJ). The current practice location address for Valery Eugene Fradkov is 3100 Broadway, Fair Lawn, NJ 07410-3963 and can be reached out via phone at 917-582-1683.

Provider Profile Details

NPI Number
1841427663
Provider Name
Valery Eugene Fradkov
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
3100 Broadway, Fair Lawn, NJ 07410-3963
Phone Number
917-582-1683
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
June 19, 2009
Last Update Date
August 10, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
3100 Broadway
Fair Lawn, NJ 07410-3963
Zip
07410-3963
Phone Number
917-582-1683
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
101 Chestnut St
Dumont, NJ 07628-3214
City
Dumont
State
NJ
Zip
07628-3214
Phone Number
917-582-1683

License Information

License Number
44SC05391100
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 Valery E Fradkov, LCSW?

The NPI number of Valery E Fradkov, LCSW is 1841427663. It was assigned on June 19, 2009 and is currently active in the NPPES registry.

What is the specialty of Valery E Fradkov, LCSW?

Valery E Fradkov, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05391100.

Where does Valery E Fradkov, LCSW practice?

The practice location is 3100 Broadway, Fair Lawn, NJ 07410-3963. The office can be reached at 917-582-1683 (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 1841427663 directly on the NPPES registry website.

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