Provider Demographics
NPI:1003230392
Name:COLUMNA-GRAJEWSKI, YUDELKA (LCSW, MSW)
Entity Type:Individual
Prefix:MS
First Name:YUDELKA
Middle Name:
Last Name:COLUMNA-GRAJEWSKI
Suffix:
Gender:F
Credentials:LCSW, MSW
Other - Prefix:MS
Other - First Name:YUDELKA
Other - Middle Name:
Other - Last Name:COLUMNA-CORDERO, COLUMNA-GUZMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:50 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07821-5503
Mailing Address - Country:US
Mailing Address - Phone:732-710-6875
Mailing Address - Fax:
Practice Address - Street 1:101 MOUNTAIN CT STE 101B
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-2300
Practice Address - Country:US
Practice Address - Phone:908-620-6336
Practice Address - Fax:844-236-1502
Is Sole Proprietor?:No
Enumeration Date:2014-02-07
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC058438001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical