Patricia Gale Vadine, LCSW

Individual provider Active NPI Clinical Social Worker · River Vale, NJ

NPI 1093045213 · NPPES record last updated Dec 22, 2014

Key facts

NPI
1093045213
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
44SC01299200 (NJ)
Practice address
725 River Vale Rd.
River Vale, NJ 07675
Phone
(201) 983-2200
Fax
(201) 391-9516
NPI assigned
Jan 11, 2010
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of North Jersey, Inc. Past Accepting new patients
Jewish Family & Children'S Services of Northern New Jersey, Inc. Clinical Past
since Apr 30, 2018
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC01299200 NJ Yes
Counseling Psychologist 103TC1900X
Psychoanalyst 102L00000X

Addresses

Primary practice location

725 River Vale Rd.
River Vale, NJ 07675

Mailing address

725 River Vale Rd.
River Vale, NJ 07675
Phone (201) 983-2200

Other providers in River Vale, NJ

All providers in River Vale, NJ · Clinical Social Worker in New Jersey

Sources for this page

Verify at the official NPI Registry.