Individual
MS. ELIZABETH SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
655 WESTFIELD AVE, ELIZABETH, NJ 07208-1325
(908) 352-8375
Mailing address
1485 TEANECK RD, TEANECK, NJ 07666-3626
(201) 937-9393
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
44SC05672000
NJ
1041C0700X
Clinical Social Worker
Primary
44SL05836700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811314685
—
NJ
Enumeration date
03/18/2014
Last updated
05/01/2018
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