Healthcare Provider Details

I. General information

NPI: 1962771550
Provider Name (Legal Business Name): NAVEENA E. D. WARAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2011
Last Update Date: 02/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2210 HAMILTON AVE
HAMILTON NJ
08619-3051
US

IV. Provider business mailing address

2210 HAMILTON AVE
HAMILTON NJ
08619-3006
US

V. Phone/Fax

Practice location:
  • Phone: 609-587-7044
  • Fax: 609-587-6765
Mailing address:
  • Phone: 609-587-7044
  • Fax: 609-587-6765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05579700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: