Jonathan S Byrne, LCSW
Individual provider Active NPI Clinical Social Worker · Closter, NJ
NPI 1154790400 · NPPES record last updated Jul 13, 2017
Key facts
- NPI
- 1154790400
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC05676000 (NJ)
- Practice address
- 294 Harrington Ave
Suite #6
Closter, NJ 07624-1912 - Phone
- (201) 564-7331
- NPI assigned
- Sep 16, 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 |
|---|---|---|---|
| 44SC05676000 | NJ | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05676000 | NJ | Yes |
Addresses
Primary practice location
294 Harrington Ave
Suite #6
Closter, NJ 07624-1912
Mailing address
64 Claremont Ave
(Optional)
Bloomfield, NJ 07003-3035
Phone (201) 674-0702
Other providers in Closter, NJ
- Michael Ryan Blanco
- Mona Teresa Lynch Boland
- Kelly Ann Braun
- David Christopher Buckner
- Magdealena Buczek
- Caitlin Kelly
- Lissa Captain
- Jennifer Carlson
- Dara Cattani
- Center for Neuropsychology and Psychotherapy, LLC
All providers in Closter, 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 Jul 13, 2017. 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.