Healthcare Provider Details

I. General information

NPI: 1609588342
Provider Name (Legal Business Name): HADIYAH FINNEY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2022
Last Update Date: 12/14/2022
Certification Date: 12/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59 OAKLAND AVE
EDISON NJ
08817-4231
US

IV. Provider business mailing address

PO BOX 158
SOUTH ORANGE NJ
07079-0158
US

V. Phone/Fax

Practice location:
  • Phone: 862-276-7682
  • Fax:
Mailing address:
  • Phone: 973-440-9127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC06045000
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: