Healthcare Provider Details

I. General information

NPI: 1184968950
Provider Name (Legal Business Name): NANCY E MORAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2012
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 ROUTE 27 BUILDING 7, SUITE 202
EDISON NJ
08820-3905
US

IV. Provider business mailing address

22 OAK HILLS RD
EDISON NJ
08820-3661
US

V. Phone/Fax

Practice location:
  • Phone: 908-417-2850
  • Fax:
Mailing address:
  • Phone: 848-391-9676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05189200
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: