Healthcare Provider Details

I. General information

NPI: 1851975726
Provider Name (Legal Business Name): BRITTNEY JEAN CORDES LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2021
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 VALLEY HEALTH PLZ
PARAMUS NJ
07652-3607
US

IV. Provider business mailing address

1301 WALL ST W APT 1111
LYNDHURST NJ
07071-3527
US

V. Phone/Fax

Practice location:
  • Phone: 201-265-8200
  • Fax:
Mailing address:
  • Phone: 201-218-4425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SL06333900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: