Virginia Abu-Bakr, MSW, LCSW,RPT

Individual provider Active NPI Clinical Social Worker · Edison, NJ

NPI 1427675693 · NPPES record last updated Jul 2, 2020

Key facts

NPI
1427675693
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
44SC01486300 (NJ)
Practice address
4 Lahiere Ave
Edison, NJ 08817-3127
Phone
(201) 988-2619
NPI assigned
Jul 2, 2020
Sex
Female
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

LicenseStateTypeSpecialty
44SC01486300NJMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC01486300 NJ Yes

Addresses

Primary practice location

4 Lahiere Ave
Edison, NJ 08817-3127

Mailing address

4 Lahiere Ave
Edison, NJ 08817-3127
Phone (201) 988-2619

Other providers in Edison, NJ

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

Sources for this page

Verify at the official NPI Registry.