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NPI Code Detail

MEDICARE: MS. NATIVIDAD PADIERNA LCSW

MEDICARE: MS. NATIVIDAD PADIERNA 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 Worker44SC06580100NJ

General Provider Information

NPI Number : 1215892906
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NATIVIDAD PADIERNA LCSW
Provider Business Mailing Address
First Line : 77 BROOK AVE APT H11
Second Line :
City : PASSAIC
State : NJ
Zip : 07055-5359
Country : US
Telephone Number : 973-865-2140
Fax Number :
Provider Business Practice Location Address
First Line : 110 MAIN AVE
Second Line :
City : PASSAIC
State : NJ
Zip : 07055-4427
Country : US
Telephone Number : 973-777-7638
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/16/2025

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