J. Victoria Laszlo, LCSW, LCADC
Individual provider Active NPI Clinical Social Worker · South River, NJ
NPI 1366587248 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1366587248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC05165200 (NJ)
- Practice address
- 171 Main St
South River, NJ 08882-1500 - Phone
- (732) 794-3629
- Fax
- (732) 390-9298
- NPI assigned
- Feb 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 44SC05165200 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Family Service of Southern Middlesex County | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05165200 | NJ | Yes |
Addresses
Primary practice location
171 Main St
South River, NJ 08882-1500
Mailing address
171 Main St
South River, NJ 08882-1500
Phone (732) 794-3629
Other providers in South River, NJ
- Samavia Khan
- Maria Koutsoupias
- Cynthia Kozicki
- Sigmund Lewis Kulessa Jr.
- Jean Claude Laborde
- Mark Jeffrey Lawson
- Charity Mantebea
- Shorok Abdalla Maria
- James Joseph Matera
- Glenda L. Mathew
All providers in South River, 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 8, 2007. 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.