MEDICARE: MS. CLAUDIA J. WEISS M.S.W.

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	1041C0700X	Clinical Social Worker	SC00149300	NJ

General Provider Information

NPI Number	:	1710189964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CLAUDIA J. WEISS M.S.W.

Provider Business Mailing Address
First Line	:	7 S MAIN ST STE B
Second Line	:	SUITE B
City	:	MARLBORO
State	:	NJ
Zip	:	07746-1578
Country	:	US
Telephone Number	:	732-446-4224
Fax Number	:	484-902-5964

Provider Business Practice Location Address
First Line	:	7 S MAIN ST
Second Line	:	SUITE B
City	:	MARLBORO
State	:	NJ
Zip	:	07746-1578
Country	:	US
Telephone Number	:	732-446-4224
Fax Number	:

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

Provider Enumeration Date	:	06/01/2007
Last Update Date	:	04/13/2012

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