Victoria L Beckerman, LCSW

Individual provider Active NPI Clinical Social Worker · Nutley, NJ

NPI 1275937922 · NPPES record last updated Oct 9, 2014

Key facts

NPI
1275937922
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
44SC04993500 (NJ)
Practice address
405 Centre St
Nutley, NJ 07110
Phone
(973) 542-1300
NPI assigned
Oct 9, 2014
Sex
Female
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

State licenses

LicenseStateTypeSpecialty
44SC04993500NJMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC04993500 NJ Yes

Addresses

Primary practice location

405 Centre St
Nutley, NJ 07110

Mailing address

405 Centre St
Nutley, NJ 07110
Phone (973) 542-1300

Other providers in Nutley, NJ

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

Sources for this page

Verify at the official NPI Registry.