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NPI Code Detail

MEDICARE: MARYAM B SALEEM LCSW

MEDICARE:   MARYAM B SALEEM  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 Worker44SC06636700NJ

General Provider Information

NPI Number : 1164366530
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARYAM B SALEEM LCSW
Provider Business Mailing Address
First Line : 757 MOSSWOOD AVE
Second Line :
City : ORANGE
State : NJ
Zip : 07050-3036
Country : US
Telephone Number : 973-652-3797
Fax Number :
Provider Business Practice Location Address
First Line : 757 MOSSWOOD AVE
Second Line :
City : ORANGE
State : NJ
Zip : 07050-3036
Country : US
Telephone Number : 973-652-3797
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2026
Last Update Date : 04/16/2026

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Directions to “ MARYAM B SALEEM LCSW” Practice Location

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