Healthcare Provider Details

I. General information

NPI: 1144046830
Provider Name (Legal Business Name): FLORENCE E. CHIRICHIELLO MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/26/2024
Last Update Date: 11/26/2024
Certification Date: 11/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 N BELAIR AVE
CEDAR KNOLLS NJ
07927-1405
US

IV. Provider business mailing address

109 N BELAIR AVE
CEDAR KNOLLS NJ
07927-1405
US

V. Phone/Fax

Practice location:
  • Phone: 973-271-9211
  • Fax:
Mailing address:
  • Phone: 973-271-9211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC06376900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: