Healthcare Provider Details

I. General information

NPI: 1609092931
Provider Name (Legal Business Name): RICHARD S DROBNICK LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

354 STATE ST LOWR LEVEL9
HACKENSACK NJ
07601-5530
US

IV. Provider business mailing address

354 STATE ST LOWR LEVEL9
HACKENSACK NJ
07601-5530
US

V. Phone/Fax

Practice location:
  • Phone: 201-692-0508
  • Fax: 201-692-1691
Mailing address:
  • Phone: 201-692-0508
  • Fax: 201-692-1691

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC00040600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: