Wellformed AI

NPI 1609250307 · live from the CMS NPI Registry

Jorge Luis Abreu, M.S.W., L.C.S.W.

Social Worker, Clinical in New Milford, NJ. National Provider Identifier 1609250307, active.

NPI record

NPI1609250307 Type 1 · individual
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location125 Holland Ave, New Milford, NJ 07646
Practice phone347-234-4016
EnumeratedJuly 13, 2015
Last updatedJuly 13, 2015
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X44SC05637700 (NJ)
Social Worker, Clinical1041C0700X071986-1 (NY)

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