Healthcare Provider Details

I. General information

NPI: 1710807896
Provider Name (Legal Business Name): CHRISTINE JEFFREY LCSW LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

328 CHANGEBRIDGE RD STE 200
PINE BROOK NJ
07058-3228
US

IV. Provider business mailing address

328 CHANGEBRIDGE RD STE 200
PINE BROOK NJ
07058-3228
US

V. Phone/Fax

Practice location:
  • Phone: 973-794-6565
  • Fax: 973-794-3434
Mailing address:
  • Phone: 973-794-6565
  • Fax: 973-794-3434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. CHRISTINE MARIE JEFFREY
Title or Position: OWNER
Credential: LCSW
Phone: 973-653-8400