# MARYCLAIRE MENA, LCSW

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568981991
- **Authorized official:** MARYCLAIRE MENA LCSW (LCSW)
- **Authorized official phone:** (551) 427-4850

## Contact information

- **Practice address:** 85 HOPPER AVE, WALDWICK, NJ 07463-1517
- **Practice address phone:** (551) 427-4850
- **Mailing address:** 181 DAYTON ST, RIDGEWOOD, NJ 07450-4407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 44SC00193900 | NULL | Yes |
| 1041C0700X | Clinical Social Worker | 44SC00193900 | — | Yes |

## Other

- **Enumeration date:** 09/18/2017
- **Last updated:** 09/18/2017