Diane Jean Ivanov in North Brunswick - Clinical
Diane Jean Ivanov - NPI 1932183100
Diane Jean Ivanov is a Clinical in North Brunswick, New Jersey. Diane Jean Ivanov practices all healthcare services and medical treatments related to Clinical. The NPI Number for Diane Jean Ivanov is 1932183100. The last update date is 2017-04-12.
Diane Jean Ivanov's current location address is 538 1st Ave, North Brunswick, New Jersey. You can contact this provider via phone number 7184961149. The mailing address for Diane Jean Ivanov is 538 1st Ave, North Brunswick, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane Jean Ivanov |
|---|---|
| Address | 538 1st Ave, North Brunswick, New Jersey |
| Phone Number | 7184961149 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1932183100 |
|---|---|
| Provider Enumeration Date | 2005-12-01 |
| Last Updated Date | 2017-04-12 |
Provider Mailing Address Detail
| Address | 538 1st Ave |
|---|---|
| City | North Brunswick |
| State | New Jersey (NJ) |
| Post Code | 89023306 |
| Phone Number | 7184961149 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 44SC04824800 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1524574 | NY | -- |
Post Comment/ Review Below
What is the Diane Jean Ivanov's unique identification number?
The Diane Jean Ivanov has been assigned the NPI (National Provider Identifier) Number 1932183100 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Diane Jean Ivanov?
The Diane Jean Ivanov is situated at 538 1St Ave, in the city of North Brunswick, state of NJ, with the zip code 89023306.
What is Diane Jean Ivanov's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Diane Jean Ivanov is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
When was the Diane Jean Ivanov's 1932183100 issued?
The Diane Jean Ivanov's 1932183100 was issued on 2005-12-01.
When was the information pertaining to Diane Jean Ivanov most recently updated or revised?
The details related to Diane Jean Ivanov, including its address, specialty, and other relevant information, were last updated or revised on 2017-04-12.
NPI Number: 1982607784
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