Jose J Nieves, LCSW
Individual provider Active NPI Clinical Social Worker · Haskell, NJ
NPI 1124483334 · NPPES record last updated Aug 9, 2021
Key facts
- NPI
- 1124483334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC05765400 (NJ)
- Practice address
- 1069 Ringwood Ave Ste 301
Haskell, NJ 07420-1452 - Phone
- (973) 413-7612
- NPI assigned
- Dec 15, 2015
- Sex
- Male
- 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 |
|---|---|---|---|
| 44SL06072300 | NJ | MD | Social Worker |
| 44SC05765400 | NJ | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL06072300 | NJ | |
| Clinical Social Worker |
1041C0700X | 44SC05765400 | NJ | Yes |
Addresses
Primary practice location
1069 Ringwood Ave Ste 301
Haskell, NJ 07420-1452
Mailing address
1069 Ringwood Ave Ste 301
Haskell, NJ 07420-1452
Phone (973) 413-7612
Other providers in Haskell, NJ
- Michael a Benetatos OD LLC
- Christopher Miller
- Casandra Morinvil
- Rupalee Narkhede
- New Jersey CVS Pharmacy LLC
- North Jersey Pediatric and Adult Nursing and Wellness Center, LLC
- North Jersey Pediatric and Adult Nursing and Wellness Center, LLC
- North Jersey Voice Speech and Swallow Center LLC
- Nu Imagery Healthcare
- Donna Ore
All providers in Haskell, 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 9, 2021. 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.