Healthcare Provider Details

I. General information

NPI: 1376546218
Provider Name (Legal Business Name): SHELLEY C STEINBERG MSW, LCSW, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 MOUNTAIN AVE
HAWTHORNE NJ
07506-3331
US

IV. Provider business mailing address

35 MOUNTAIN AVE
HAWTHORNE NJ
07506-3331
US

V. Phone/Fax

Practice location:
  • Phone: 973-427-7867
  • Fax: 973-427-1862
Mailing address:
  • Phone: 973-427-7867
  • Fax: 973-427-1862

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC00036900
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number37FI00114600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: