Rebecca Gotterer, LCSW
Social Worker, Clinical in Montclair, NJ. Individual provider (NPI-1).
NPI number1669924205
StatusActive
Last updated in NPPESApr 23, 2020
Details
- NPI
- 1669924205
- Entity type
- Individual (NPI-1)
- Name
- Ms. Rebecca Gotterer
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 31, 2016
- Certification date
- Apr 23, 2020
- Last updated
- Apr 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 44SC05626000 | NJ | Yes |
Practice location
87 Park StMontclair, NJ 07042-3465
Phone 973-433-6889
Mailing address
261 Claremont AveMontclair, NJ 07042-2833
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