Wellformed AI

NPI 1134735640 · live from the CMS NPI Registry

4bienestar LLC

Social Worker, Clinical in Rutherford, NJ. National Provider Identifier 1134735640, active.

NPI record

NPI1134735640 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location305 Park Ave # 2, Rutherford, NJ 07070
Practice phone201-207-9243
EnumeratedSeptember 20, 2020
Last updatedSeptember 20, 2020
Authorized officialDerrick Alloway, Ceo

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.