Individual
GREIDDY NICASIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
786 GRANGE RD, TEANECK, NJ 07666-4237
(917) 728-0012
Mailing address
461 GREGLAWN DR, PARAMUS, NJ 07652-4111
(917) 728-0012
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
44SC06092500
NJ
Other
Enumeration date
08/23/2022
Last updated
06/24/2025
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