Individual
ENDELEA MEADOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
165 HELLER PKWY, NEWARK, NJ 07104-1635
(201) 371-3416
Mailing address
165 HELLER PKWY # A2, NEWARK, NJ 07104-1635
(973) 634-4381
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC06282000
NJ
1041S0200X
School Social Worker
1095972
NJ
Other
Enumeration date
09/24/2018
Last updated
02/05/2024
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