Stucker, Eleanor Marie

Stucker, Eleanor Marie is an sole proprietor health care provider with primary practice located at 316 Prospect Ave Apt 6A , Hackensack NJ 07601-2526. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Stucker, Eleanor Marie can be contacted via phone (201) 525-1167.

Contact Information

Primary practice address
316 Prospect Ave Apt 6A Hackensack NJ 07601-2526
Phone: (201) 525-1167
Fax: (201) 525-1168
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 44SC00604000 New Jersey

Profile Details

NPI number 1003933938
LBN Legal business name Stucker, Eleanor Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2007
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 1003933938 NPPES
New York Other 029939-1 SOCIAL WORK LICENSE

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