Individual
MRS. AVIVA EIZIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
655 E JERSEY ST, ELIZABETH, NJ 07206-1259
(908) 994-7374
Mailing address
18 MARGET ANN LN, SUFFERN, NY 10901-3313
(973) 975-9090
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
085629-01
NY
1041C0700X
Clinical Social Worker
Primary
44SC05677800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085629-01
THE UNIVERSITY OF THE STATE OF NY OFFICE OF THE PROFESSIONS
NY
01
—
44SC05677800
BOARD OF SOCIAL WORK EXAMINERS
NJ
Enumeration date
03/10/2022
Last updated
03/10/2022
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