Doctor Name: | STEPHANIE WOLFERSBERGER |
NPI Number: | 1003194283 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW |
License Number: | 44SC05448600 |
Business Practice Address: | 221 Palisade Avenue Jersey City, NJ - 07306 |
Business Phone Number: | 2016563116 |
Business Fax Number: | 2016569044 |
Mailing Address: | 221 Palisade Avenue, JERSEY CITY |
State: | NJ |
Postal Code: | 07306 |
Phone Number: | 2016563116 |
Fax Number: | 2016569044 |
NPI Enumeration Date: | 07/22/2011 |
NPI Last Update Date: | 06/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC05448600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |