Pamela J Pater-Ennis, LCSW,M.Div., PhD
Social Worker, Clinical in Bergenfield, NJ. Individual provider (NPI-1).
NPI number1174656409
StatusActive
Last updated in NPPESDec 18, 2019
Details
- NPI
- 1174656409
- Entity type
- Individual (NPI-1)
- Name
- Ms. Pamela J Pater-Ennis
- Credential
- LCSW,M.Div., PhD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 14, 2007
- Certification date
- Dec 18, 2019
- Last updated
- Dec 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 44SC05339100 | NJ | Yes |
| 101YP1600X | Counselor, Pastoral | – | – | |
| 1041C0700X | Social Worker, Clinical | R042224-1 | NY |
Other names
- Pamela P Ennis (Other Name)
Practice location
114 Brookview TerBergenfield, NJ 07621-3100
Phone 201-962-6443 · Fax 201-541-8100
Mailing address
114 Brookview TerraceBergenfield, NJ 07621-4504
Phone 201-962-6443 · Fax 201-541-8100
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