Gabrielle Avitabile, LCSW
Individual provider Active NPI Clinical Social Worker · Oradell, NJ
NPI 1013495563 · NPPES record last updated Aug 6, 2018
Key facts
- NPI
- 1013495563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC05798900 (NJ)
- Practice address
- 297 Kinderkamack Rd
Oradell, NJ 07649-1538 - Phone
- (201) 218-2452
- NPI assigned
- Aug 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05798900 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Courage for Change, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05798900 | NJ | Yes |
Addresses
Primary practice location
297 Kinderkamack Rd
Oradell, NJ 07649-1538
Mailing address
189 Elizabeth St
Oradell, NJ 07649-2608
Phone (201) 218-2452
Other providers in Oradell, NJ
- Agape Abby Boxman LCSW LLC
- Tara Amanna
- American Ambulatory Surgical Center Inc.
- Another Perspective Counseling Services, LLC
- Rami Sebastian Audi
- Lawrence Alfred Avitabile
- Hooman Azmi-Ghadimi
- Marlene Fischer Bandfield
- Alyssa Baron
- Carl John Battista
All providers in Oradell, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.