Healthcare Provider Details

I. General information

NPI: 1265344840
Provider Name (Legal Business Name): ELLEN ANELLO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 NORTH RD APT 3
WARREN NJ
07059-7184
US

IV. Provider business mailing address

2 NORTH RD APT 3
WARREN NJ
07059-7184
US

V. Phone/Fax

Practice location:
  • Phone: 862-276-1881
  • Fax: 908-834-3554
Mailing address:
  • Phone: 862-276-1881
  • Fax: 908-834-3554

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: ELLEN ANELLO
Title or Position: CEO
Credential:
Phone: 862-276-1881