Mary Ellen Fassnacht
Organization Active NPI Clinical Social Worker · Butler, NJ
NPI 1013564079 · NPPES record last updated Aug 23, 2019
Key facts
- NPI
- 1013564079
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- MARY ELLEN FASSNACHT
- Practice address
- 1250 Rte 23
Butler, NJ 07405-2037 - Phone
- (973) 722-9831
- NPI assigned
- Aug 23, 2019
- Organization subpart
- No
Authorized official
- Name
- Mary Ellen Fassnacht
- Title
- Owner/Provider
- Phone
- (973) 722-9831
National Provider Directory
Locations
1250 Route 23
Butler, NJ 07405
Phone (973) 722-9831
317 Godwin Ave
Midland Park, NJ 07432
Phone (201) 644-6164
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
1250 Rte 23
Butler, NJ 07405-2037
Mailing address
317 Godwin Ave
Midland Park, NJ 07432-1519
Other practice location 1
317 Godwin Ave
Midland Park, NJ 07432-1519
Phone (973) 722-9831
Other providers in Butler, NJ
- Lucy Covello, M.D., P.a.
- Chelsey Lupica
- Making Changes NJ LLC
- Managed Home Accessibility LLC
- Managed Wound Care
- Margaret McCollum
- Jennifer McConville
- Jeffrey Alan Michaels
- Emily Mari Miller
- Kathleen Ann Minervini
All providers in Butler, 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 23, 2019. 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.