Doctor Name: | MS. RACHEL LONG |
NPI Number: | 1710164769 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | 44SC05267200 |
Business Practice Address: | 1 Meadowlands Plaza Suite #200 East Rutherford, NJ - 07073 |
Business Phone Number: | 2012861122 |
Business Fax Number: | |
Mailing Address: | 1 Meadowlands Plaza, Suite #200 EAST RUTHERFORD |
State: | NJ |
Postal Code: | 07073 |
Phone Number: | 2012861122 |
Fax Number: | |
NPI Enumeration Date: | 01/22/2008 |
NPI Last Update Date: | 05/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC05267200 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |