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NPI Code Detail

MEDICARE: NIA NANTON LCSW

MEDICARE: NIA NANTON 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
11041C0700XClinical Social Worker44SC06525400NJ

General Provider Information

NPI Number : 1902630304
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIA NANTON LCSW
Provider Business Mailing Address
First Line : 807 SYMONS CT
Second Line :
City : MONMOUTH JUNCTION
State : NJ
Zip : 08852-3397
Country : US
Telephone Number : 347-570-7347
Fax Number :
Provider Business Practice Location Address
First Line : 25 COMMERCE DR STE 210
Second Line :
City : CRANFORD
State : NJ
Zip : 07016-3621
Country : US
Telephone Number : 908-905-3444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2024
Last Update Date : 08/22/2025

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