Vivian Andrade, LSW
Social Worker, Clinical in Jersey City, NJ. Individual provider (NPI-1).
NPI number1942025192
StatusActive
Last updated in NPPESNov 21, 2024
Details
- NPI
- 1942025192
- Entity type
- Individual (NPI-1)
- Name
- Vivian Andrade
- Credential
- LSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2024
- Certification date
- Nov 21, 2024
- Last updated
- Nov 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 44SL06908400 | NJ | Yes |
Practice location
249 Virginia AveJersey City, NJ 07304-1423
Phone 201-798-2188
Mailing address
249 Virginia AveJersey City, NJ 07304-1423
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