NPI 1922123736 · live from the CMS NPI Registry
Kerlandre Adrien, LSW
Social Worker in Elizabeth, NJ. National Provider Identifier 1922123736, active.
NPI record
| NPI | 1922123736 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 655 Westfield Ave, Elizabeth, NJ 07208 |
| Practice phone | 908-352-8375 |
| Mailing address | 71 Webster St, Irvington, NJ 07111 |
| Enumerated | March 20, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | 44SL05426300 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.