Doctor Name: | ESTHER DENISE MEZA |
NPI Number: | 1316362049 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 44SC5397500 |
Business Practice Address: | 200 Park Ave Rutherford, NJ - 070702347 |
Business Phone Number: | 9732224375 |
Business Fax Number: | |
Mailing Address: | 200 Park Ave, RUTHERFORD |
State: | NJ |
Postal Code: | 070702347 |
Phone Number: | 9732224375 |
Fax Number: | |
NPI Enumeration Date: | 03/05/2014 |
NPI Last Update Date: | 03/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC5397500 |
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 |