Pettinati, Marilyn Sandra

Pettinati, Marilyn Sandra is an individual health care provider with primary practice located at 38-14 Morlot Ave , Fair Lawn NJ 07410-4917. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Pettinati, Marilyn Sandra can be contacted via phone (201) 723-9016.

Contact Information

Primary practice address
38-14 Morlot Ave Fair Lawn NJ 07410-4917
Phone: (201) 723-9016
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 44SCOO405700 New Jersey

Profile Details

NPI number 1811934995
LBN Legal business name Pettinati, Marilyn Sandra
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jul 8th, 2007 - about 17 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 1811934995 NPPES
New Jersey Other SCO4057NJ LICENSED CLINICAL SOCIAL

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