Loretta Acquaah
Individual provider Active NPI Clinical Social Worker · Newark, NJ
NPI 1093595985 · NPPES record last updated Aug 23, 2024
Key facts
- NPI
- 1093595985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC06130100 (NY)
- Practice address
- 146 Ferry St Ste B
Newark, NJ 07105-2133 - Phone
- (646) 466-5676
- NPI assigned
- Sep 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 44SC06130100 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC06130100 | NY | Yes |
Addresses
Primary practice location
146 Ferry St Ste B
Newark, NJ 07105-2133
Mailing address
21 Boston CT
Newark, NJ 07103-3442
Phone (917) 302-3067
Other providers in Newark, NJ
- Chidi Reuben Achebe
- Aylin Acikgoz
- Viviane Ackad
- Indira Acosta
- Merylyn Acosta
- Constance Acquah
- John Acquaviva
- Active Aging Medical Group Inc
- Acupuncture Healthcare Plaza III
- Shawn Adam
All providers in Newark, 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, 2024. 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.