NPI 1316572001 · live from the CMS NPI Registry
Meron W Addisu, LCSW
Social Worker, Clinical in Paramus, NJ. National Provider Identifier 1316572001, active.
NPI record
| NPI | 1316572001 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 300 Forest Ave, Paramus, NJ 07652 |
| Practice phone | 201-680-1420 |
| Mailing address | 86 Warren St Apt 3b, Nutley, NJ 07110 |
| Enumerated | March 3, 2020 |
| Last updated | May 2, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 44SL05882500 (NJ) |
| Social Worker, Clinical primary | 1041C0700X | 44SC06199000 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.