Individual
JANICE KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
511 VALLEY ST, 201, MAPLEWOOD, NJ 07040-1381
(201) 407-5558
Mailing address
84 UNION AVE, MAPLEWOOD, NJ 07040-1422
(201) 407-5558
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
074828
NY
1041C0700X
Clinical Social Worker
Primary
44SC05312100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
074828
LICENSE
NY
01
—
44SC05312100
NEW JERSEY LICENSE NUMBER
NJ
Enumeration date
11/16/2006
Last updated
06/30/2009
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