Doctor Name: | MS. ELSIE JIMENEZ |
NPI Number: | 1073779450 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W |
License Number: | 44SC05269200 |
Business Practice Address: | 132 Washington St Hoboken, NJ - 070304646 |
Business Phone Number: | 2018520428 |
Business Fax Number: | 2018697388 |
Mailing Address: | 132 Washington St, HOBOKEN |
State: | NJ |
Postal Code: | 070304646 |
Phone Number: | 2018520428 |
Fax Number: | 2018697388 |
NPI Enumeration Date: | 08/05/2008 |
NPI Last Update Date: | 08/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC05269200 |
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 |