Healthcare Provider Details

I. General information

NPI: 1447982731
Provider Name (Legal Business Name): MARIEL CRISTINA FURSTNER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARIEL PIETRYKOSKI

II. Dates (important events)

Enumeration Date: 06/27/2022
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 RIVER ST STE 9
HOBOKEN NJ
07030-5990
US

IV. Provider business mailing address

PO BOX 1141
LOUISA VA
23093-1141
US

V. Phone/Fax

Practice location:
  • Phone: 646-941-7645
  • Fax:
Mailing address:
  • Phone: 908-219-7884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC06645900
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904020340
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: