Healthcare Provider Details

I. General information

NPI: 1801197561
Provider Name (Legal Business Name): VIRGINIA ABREY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VIRGINIA ABREY LCSW

II. Dates (important events)

Enumeration Date: 11/11/2010
Last Update Date: 02/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 N RTE 17 SUITE 330
PARAMUS NJ
07652-2809
US

IV. Provider business mailing address

140 N RTE 17 SUITE 330
PARAMUS NJ
07652-2809
US

V. Phone/Fax

Practice location:
  • Phone: 201-445-1990
  • Fax: 201-445-1992
Mailing address:
  • Phone: 201-445-1990
  • Fax: 201-445-1992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SCO5595500
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: