Individual
MS. ELIZABETH A MIGNECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW;LCSW;LMFT
Contact information
Practice address
1600 RAHWAY AVE, WESTFIELD, NJ 07090-3615
(908) 873-1879
(908) 317-5459
Mailing address
1 5TH AVE, CRANFORD, NJ 07016-1638
(908) 276-1331
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
073151
NY
1041C0700X
Clinical Social Worker
Primary
SC01536
NJ
106H00000X
Marriage & Family Therapist
FI01238
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
073151
LCSW
NY
01
—
FI01238
MARRIAGE & FAMILY LICENSE
NJ
01
—
SC01536
LCSW
NJ
Enumeration date
02/12/2007
Last updated
03/07/2013
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