Healthcare Provider Details

I. General information

NPI: 1750103057
Provider Name (Legal Business Name): JUNE STERN, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2024
Last Update Date: 10/28/2024
Certification Date: 10/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 RIVERCREST DR
PISCATAWAY NJ
08854-4634
US

IV. Provider business mailing address

202 RIVERCREST DR
PISCATAWAY NJ
08854-4634
US

V. Phone/Fax

Practice location:
  • Phone: 908-239-0014
  • Fax:
Mailing address:
  • Phone: 908-239-0014
  • Fax:

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: JUNE V STERN
Title or Position: LCSW
Credential:
Phone: 908-239-0014