Jared Tactuk, LCSW
Social Worker, Clinical in Clifton, NJ. Individual provider (NPI-1).
NPI number1164032652
StatusActive
Last updated in NPPESFeb 5, 2025
Details
- NPI
- 1164032652
- Entity type
- Individual (NPI-1)
- Name
- Jared Tactuk
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 9, 2020
- Certification date
- Feb 5, 2025
- Last updated
- Feb 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 44SC05882900 | NJ | Yes |
Practice location
95 Main Ave Ste 278Clifton, NJ 07014-1748
Phone 973-692-5127 · Fax 973-807-1992
Mailing address
95 Main Ave Ste 278Clifton, NJ 07014-1748
Phone 973-692-5127 · Fax 973-807-1992
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