Individual
DEBRA RENAE DACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
230 E RIDGEWOOD AVE, PARAMUS, NJ 07652-4142
(855) 993-7336
Mailing address
779 11TH AVE APT 4D, PATERSON, NJ 07514-1033
(855) 993-7336
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC06341600
NJ
Other
Enumeration date
04/29/2025
Last updated
03/09/2026
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