Dayna Bandman
Individual provider Active NPI Clinical Social Worker · Upper Montclair, NJ
NPI 1285841809 · NPPES record last updated Jan 21, 2016
Key facts
- NPI
- 1285841809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC05275275100 (NJ)
- Practice address
- 209 Cooper Ave
Ste 5C
Upper Montclair, NJ 07043-1850 - Phone
- (973) 509-2955
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05275275100 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05275275100 | NJ | Yes |
Addresses
Primary practice location
209 Cooper Ave
Ste 5C
Upper Montclair, NJ 07043-1850
Mailing address
120 Cooper Ave
Montclair, NJ 07043-2219
Other providers in Upper Montclair, NJ
- Alison Weiner, M.D., P.C.
- Mariam Ammar
- Gail Fran Azar
- Grace A Baumgarten
- Believe
- Michael H. Bell
- Geraldine Sarah Best
- Pamela B Borman
All providers in Upper Montclair, 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 Jan 21, 2016. 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.