Healthcare Provider Details

I. General information

NPI: 1861035925
Provider Name (Legal Business Name): NOELLE MATHEW LCSW, LCADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2019
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 VALLEY HEALTH PLZ
PARAMUS NJ
07652-3607
US

IV. Provider business mailing address

126 LINCOLN BLVD
EMERSON NJ
07630-1031
US

V. Phone/Fax

Practice location:
  • Phone: 201-265-8200
  • Fax:
Mailing address:
  • Phone: 201-983-2128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SC06496000
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number37LC00386200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: