Organization
FAMILY INTERVENTION SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANNE M WARNOCK LCSW (CEO)
(973) 275-1570
Entity
Organization
Contact information
Practice address
106 VALLEY ST, SOUTH ORANGE, NJ 07079-2886
(973) 275-1570
(973) 275-1568
Mailing address
106 VALLEY ST, SOUTH ORANGE, NJ 07079-2886
(973) 275-1570
(973) 275-1568
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017809
—
NJ
05
—
0017922
—
NJ
05
—
0018210
—
NJ
05
—
0018261
—
NJ
05
—
0021164
—
NJ
05
—
0034321
—
NJ
05
—
0081710
—
NJ
Enumeration date
05/07/2007
Last updated
08/22/2020
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