MEDICARE: MARIEL CRISTINA FURSTNER MSW, LSW

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	104100000X	Social Worker	44SL06788100	NJ

General Provider Information

NPI Number	:	1447982731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIEL CRISTINA FURSTNER MSW, LSW

Provider Business Mailing Address
First Line	:	PO BOX 1141
Second Line	:
City	:	LOUISA
State	:	VA
Zip	:	23093-1141
Country	:	US
Telephone Number	:	908-219-7884
Fax Number	:

Provider Business Practice Location Address
First Line	:	259 NEW BRUNSWICK AVE STE 202
Second Line	:
City	:	FORDS
State	:	NJ
Zip	:	08863-2260
Country	:	US
Telephone Number	:	609-744-6733
Fax Number	:

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

Provider Enumeration Date	:	06/27/2022
Last Update Date	:	02/20/2025

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