Organization
ASYA RIVINSON LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASYA RIVINSON LCSW (BUSINESS OWNER)
(800) 870-6244
Entity
Organization
Contact information
Practice address
697 VALLEY ST, SUITE B1, MAPLEWOOD, NJ 07040-2641
(800) 870-6244
Mailing address
96 ELM ST, MILLBURN, NJ 07041-2112
(800) 870-6244
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
079083
NY
261Q00000X
Clinic/Center
44SC05647900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079083
LCSW
NY
01
—
44SC05647900
LCSW
NJ
Enumeration date
05/07/2014
Last updated
03/22/2017
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