MEDICARE: ANGELIKA BURDZY LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	44SC06268200	NJ

General Provider Information

NPI Number	:	1366220865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELIKA BURDZY LCSW

Provider Business Mailing Address
First Line	:	26 JOURNAL SQ STE 505
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-4105
Country	:	US
Telephone Number	:	201-632-5554
Fax Number	:	844-866-6790

Provider Business Practice Location Address
First Line	:	26 JOURNAL SQ STE 505
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-4105
Country	:	US
Telephone Number	:	201-632-5554
Fax Number	:	844-866-6790

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2023
Last Update Date	:	02/05/2025

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