Healthcare Provider Details

I. General information

NPI: 1518155480
Provider Name (Legal Business Name): GLADYS CARDONA L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2007
Last Update Date: 10/04/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 VICTORY PL
EDISON NJ
08837-2826
US

IV. Provider business mailing address

2 VICTORY PL
EDISON NJ
08837-2826
US

V. Phone/Fax

Practice location:
  • Phone: 732-841-7565
  • Fax:
Mailing address:
  • Phone: 732-841-7565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC01448200
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: