Nies, Diane L

Nies, Diane L is an individual health care provider with primary practice located at 70 Sparta Ave Ste 104, Sparta NJ 07871-1760. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Nies, Diane L can be contacted via phone (973) 728-3938.

Contact Information

Primary practice address
70 Sparta Ave Ste 104 Sparta NJ 07871-1760
Phone: (973) 728-3938
Fax: (973) 728-7913
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00109100 New Jersey
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05242300 New Jersey

Profile Details

NPI number 1063559359
LBN Legal business name Nies, Diane L
Credentials LCSW LCADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jan 27th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063559359 NPPES
Other 468737000 MAGELLAN

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