Healthcare Provider Details

I. General information

NPI: 1902010796
Provider Name (Legal Business Name): LOUISE PARENTE PHD LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS LOUISE RUSSO

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 PONY LN
FLEMINGTON NJ
08822-3440
US

IV. Provider business mailing address

43 PONY LN
FLEMINGTON NJ
08822-3440
US

V. Phone/Fax

Practice location:
  • Phone: 347-277-8064
  • Fax:
Mailing address:
  • Phone: 347-277-8064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberRP035243
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC01433300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: