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NPI Code Detail

MEDICARE: SARAH NICOLLE CHODNICKI

MEDICARE: SARAH NICOLLE CHODNICKI
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
1104100000XSocial Worker44SL07298000NJ

General Provider Information

NPI Number : 1659239697
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH NICOLLE CHODNICKI
Provider Business Mailing Address
First Line : 23 BREVENT AVE
Second Line :
City : LEONARDO
State : NJ
Zip : 07737-1505
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 25 COMMERCE DR
Second Line :
City : CRANFORD
State : NJ
Zip : 07016-3605
Country : US
Telephone Number : 908-905-3444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2026
Last Update Date : 01/09/2026

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Directions to “ SARAH NICOLLE CHODNICKI ” Practice Location

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