NPI 1104119130 · live from the CMS NPI Registry
Martha K Adedoyin, CSW
Social Worker, Clinical in Orange, NJ. National Provider Identifier 1104119130, active.
NPI record
| NPI | 1104119130 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 370 Berkeley Rd, Orange, NJ 07050 |
| Practice phone | 973-676-8899 |
| Enumerated | May 24, 2011 |
| Last updated | May 24, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 44SW01141900 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.