Healthcare Provider Details

I. General information

NPI: 1598695520
Provider Name (Legal Business Name): AMY JO CURRAN LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

159 MILLBURN AVE
MILLBURN NJ
07041-1849
US

IV. Provider business mailing address

468 RICHMOND AVE
MAPLEWOOD NJ
07040-1416
US

V. Phone/Fax

Practice location:
  • Phone: 973-951-2812
  • Fax:
Mailing address:
  • Phone: 973-762-4062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number44SL07364300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: