Hassan Augustin, MSW

Individual provider Active NPI Clinical Social Worker · Lyons, NJ

NPI 1134828866 · NPPES record last updated Mar 2, 2023

Key facts

NPI
1134828866
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
Practice address
151 Knollcroft Rd BLDG 53
Lyons, NJ 07939-5001
Phone
(908) 647-0180
NPI assigned
Mar 2, 2023
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Yes

Addresses

Primary practice location

151 Knollcroft Rd BLDG 53
Lyons, NJ 07939-5001

Mailing address

250 Mount Vernon PL Apt 15J
Newark, NJ 07106-3188
Phone (908) 656-7550

Other providers in Lyons, NJ

All providers in Lyons, NJ · Clinical Social Worker in New Jersey

Sources for this page

Verify at the official NPI Registry.