Individual provider · NPI-1

Nicole Banales, LSW

Social Worker, Clinical · Hackensack, NJ

NPI number1558196477
StatusActive
Last updated in NPPESSep 3, 2024

Details

NPI
1558196477
Entity type
Individual (NPI-1)
Name
Nicole Banales
Credential
LSW
Sex
Female
Sole proprietor
No
Enumeration date
Sep 3, 2024
Certification date
Sep 3, 2024
Last updated
Sep 3, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical44SL06182000NJYes

Practice location

15 Warren St Ste 23
Hackensack, NJ 07601-5436

Phone 201-205-1131

Mailing address

205 Reichelt Rd Apt D
New Milford, NJ 07646-5138

Phone 915-538-6699

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