Healthcare Provider Details

I. General information

NPI: 1144962143
Provider Name (Legal Business Name): TIFFANY VILLARROEL LSW, LCADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TIFFANY VILLARROEL LSW, LCADC

II. Dates (important events)

Enumeration Date: 04/11/2022
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 SHORT HILLS AVE
SPRINGFIELD NJ
07081-1040
US

IV. Provider business mailing address

205 DURBAN AVE
HOPATCONG NJ
07843-1225
US

V. Phone/Fax

Practice location:
  • Phone: 862-222-6725
  • Fax:
Mailing address:
  • Phone: 201-994-9476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number37LC00312800
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SL06762800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: