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NPI Code Detail

MEDICARE: NADIRA PERSAUD LCSW

MEDICARE: NADIRA PERSAUD LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker44SC05957400NJ

General Provider Information

NPI Number : 1124498803
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADIRA PERSAUD LCSW
Provider Business Mailing Address
First Line : PO BOX 6744
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07306-0744
Country : US
Telephone Number : 551-247-0525
Fax Number :
Provider Business Practice Location Address
First Line : 111 TOWN SQUARE PL STE 1238
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07310-1810
Country : US
Telephone Number : 908-409-3146
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2015
Last Update Date : 04/23/2025

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Directions to “ NADIRA PERSAUD LCSW” Practice Location

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