Doctor Name: | MS. ELIZABETH A MIGNECO |
NPI Number: | 1083756597 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW;LCSW;LMFT |
License Number: | 073151 |
Business Practice Address: | 1600 Rahway Ave Westfield, NJ - 070903615 |
Business Phone Number: | 9088731879 |
Business Fax Number: | 9083175459 |
Mailing Address: | 1 5th Ave, CRANFORD |
State: | NJ |
Postal Code: | 070161638 |
Phone Number: | 9082761331 |
Fax Number: | |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 03/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 073151 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |