Healthcare Provider Details

I. General information

NPI: 1922998913
Provider Name (Legal Business Name): CHRIS HELLRIEGEL LCSW LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2025
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 LINCOLN AVE STE 1
GLEN ROCK NJ
07452-3228
US

IV. Provider business mailing address

875 LINCOLN AVE STE 1
GLEN ROCK NJ
07452-3228
US

V. Phone/Fax

Practice location:
  • Phone: 551-579-4314
  • Fax:
Mailing address:
  • Phone: 551-579-4314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHRISTOPHER HELLRIEGEL
Title or Position: OWNER
Credential:
Phone: 551-579-4314