Provider Demographics
NPI:1013041250
Name:TOMACHEK-CERNY, JOAN ELIZABETH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:ELIZABETH
Last Name:TOMACHEK-CERNY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:JOAN
Other - Middle Name:ELIZABETH
Other - Last Name:TOMACHEK-CERNY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:4 ROLLING RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:NJ
Mailing Address - Zip Code:07869-4532
Mailing Address - Country:US
Mailing Address - Phone:973-476-4443
Mailing Address - Fax:973-292-3385
Practice Address - Street 1:43 MAPLE AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-7508
Practice Address - Country:US
Practice Address - Phone:973-476-4443
Practice Address - Fax:973-292-3385
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SCO51986001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical