MEDICARE: DANIEL REDNOR 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
1	1041C0700X	Clinical Social Worker	44SC06535100	NJ

General Provider Information

NPI Number	:	1851278584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL REDNOR LCSW

Provider Business Mailing Address
First Line	:	84 WASHINGTON ST STE 3
Second Line	:
City	:	HOBOKEN
State	:	NJ
Zip	:	07030-7504
Country	:	US
Telephone Number	:	551-310-3020
Fax Number	:

Provider Business Practice Location Address
First Line	:	84 WASHINGTON ST STE 3
Second Line	:
City	:	HOBOKEN
State	:	NJ
Zip	:	07030-7504
Country	:	US
Telephone Number	:	551-310-3020
Fax Number	:

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

Provider Enumeration Date	:	08/15/2025
Last Update Date	:	08/15/2025

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Directions to “ DANIEL REDNOR LCSW” Practice Location

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