Healthcare Provider Details

I. General information

NPI: 1184188716
Provider Name (Legal Business Name): LAURA NAGER MED, MSW, LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2019
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1460 LIVINGSTON AVE
NORTH BRUNSWICK NJ
08902-1873
US

IV. Provider business mailing address

1460 LIVINGSTON AVE
NORTH BRUNSWICK NJ
08902-1873
US

V. Phone/Fax

Practice location:
  • Phone: 732-729-3600
  • Fax:
Mailing address:
  • Phone: 732-729-3600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SL06404100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: