Healthcare Provider Details

I. General information

NPI: 1477533214
Provider Name (Legal Business Name): PAULA STEIN MSW LCSW ACSW BCD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 BROAD STREET
FREEHOLD NJ
07728-1703
US

IV. Provider business mailing address

246 PLUM DRIVE
MARLBORO NJ
07746-1868
US

V. Phone/Fax

Practice location:
  • Phone: 732-462-7775
  • Fax: 732-566-7727
Mailing address:
  • Phone: 732-308-0893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberPR0254521
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC00265800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: