Provider Demographics
NPI:1003288960
Name:DWORKOWITZ, VALERIA (DNP, RN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:VALERIA
Middle Name:
Last Name:DWORKOWITZ
Suffix:
Gender:F
Credentials:DNP, RN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 595
Mailing Address - Street 2:
Mailing Address - City:WEST MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07480-0595
Mailing Address - Country:US
Mailing Address - Phone:973-409-1065
Mailing Address - Fax:973-215-3157
Practice Address - Street 1:55 MADISON AVE STE 400
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-7397
Practice Address - Country:US
Practice Address - Phone:973-409-1065
Practice Address - Fax:937-215-3157
Is Sole Proprietor?:No
Enumeration Date:2015-10-30
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2320598363LP0808X
NJ26NJ00597700363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health