Shirley Feldstein, MSW CSW LCSW

Individual provider Active NPI Clinical Social Worker · Dumont, NJ

NPI 1598877227 · NPPES record last updated Nov 6, 2008

Key facts

NPI
1598877227
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
44SC01291600 (NJ)
Practice address
2 Park Ave
Vantage Health System
Dumont, NJ 07628
Phone
(201) 385-4400
Fax
(201) 384-7067
NPI assigned
Aug 31, 2006
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)
Yes

State licenses

LicenseStateTypeSpecialty
44SC01291600NJMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC01291600 NJ Yes

Addresses

Primary practice location

2 Park Ave
Vantage Health System
Dumont, NJ 07628

Mailing address

1306 Mercedes St
Teaneck, NJ 07666
Phone (201) 692-1371

Other identifiers

IdentifierTypeStateIssuer
0005908GRPMedicaidNJ

Other providers in Dumont, NJ

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

Sources for this page

Verify at the official NPI Registry.