MEDICARE: ADRIENNE MARGARET POPOVICH LCSW, MSW

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	44SC06616300	NJ

General Provider Information

NPI Number	:	1568109809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIENNE MARGARET POPOVICH LCSW, MSW

Provider Business Mailing Address
First Line	:	143 HILLMAN DR
Second Line	:
City	:	ELMWOOD PARK
State	:	NJ
Zip	:	07407-1346
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	640 NEWARK POMPTON TPKE
Second Line	:
City	:	POMPTON PLAINS
State	:	NJ
Zip	:	07444-1735
Country	:	US
Telephone Number	:	973-839-2700
Fax Number	:

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

Provider Enumeration Date	:	05/18/2022
Last Update Date	:	02/11/2026

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