Healthcare Provider Details

I. General information

NPI: 1629586995
Provider Name (Legal Business Name): DANIELLE TARZY SSW, MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2018
Last Update Date: 07/20/2026
Certification Date:
Deactivation Date: 01/20/2018
Reactivation Date: 07/20/2026

III. Provider practice location address

923 HADDONFIELD RD
CHERRY HILL NJ
08002-2752
US

IV. Provider business mailing address

727 COBBLE CREEK CIR
CHERRY HILL NJ
08003-1843
US

V. Phone/Fax

Practice location:
  • Phone: 732-598-6716
  • Fax:
Mailing address:
  • Phone: 732-598-6716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05719900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: