| Doctor Name: | TEGAN SORVINO QUILLE |
| NPI Number: | 1073977096 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LCSW |
| License Number: | 44SCO4515600 |
| Business Practice Address: | 51 Jfk Parkway 1st Floor West/regus Short Hills, NJ - 07078 |
| Business Phone Number: | 9085229439 |
| Business Fax Number: | |
| Mailing Address: | 51 Jfk Parkway, 1st Floor West/regus SHORT HILLS |
| State: | NJ |
| Postal Code: | 07078 |
| Phone Number: | 9085229439 |
| Fax Number: | |
| NPI Enumeration Date: | 04/06/2016 |
| NPI Last Update Date: | 04/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 44SCO4515600 |
| 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 |