Rita Hoenicke, MSW

Individual provider Active NPI Clinical Social Worker · Upper Montclair, NJ

NPI 1598814766 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1598814766
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
SCO45200 (NJ)
Practice address
51 Upper Montclair PLZ
#30
Upper Montclair, NJ 07043-1343
Phone
(973) 744-4671
NPI assigned
Jan 9, 2007
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
SCO45200NJMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SCO45200 NJ Yes

Addresses

Primary practice location

51 Upper Montclair PLZ
#30
Upper Montclair, NJ 07043-1343

Mailing address

51 Upper Montclair PLZ
#30
Upper Montclair, NJ 07043-1343
Phone (973) 744-4671

Other identifiers

IdentifierTypeStateIssuer
SCO45200OtherNJNJ STATE LICENSE #

Other providers in Upper Montclair, NJ

All providers in Upper Montclair, NJ · Clinical Social Worker in New Jersey

Sources for this page

Verify at the official NPI Registry.