MEDICARE: YASMEEN FARAJ

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
1	104100000X	Social Worker	44SL06815100	NJ
2	1041C0700X	Clinical Social Worker	44SC06448200	NJ

General Provider Information

NPI Number	:	1447948724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YASMEEN FARAJ

Provider Business Mailing Address
First Line	:	15 NORTHWOOD DR
Second Line	:
City	:	WEST MILFORD
State	:	NJ
Zip	:	07480-3724
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 NORTHWOOD DR
Second Line	:
City	:	WEST MILFORD
State	:	NJ
Zip	:	07480-3724
Country	:	US
Telephone Number	:	201-566-0396
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2023
Last Update Date	:	02/17/2025

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Directions to “ YASMEEN FARAJ ” Practice Location

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