Provider Demographics
NPI:1073109484
Name:HAJMOHAMED, NADINE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:NADINE
Middle Name:
Last Name:HAJMOHAMED
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 EDISON ST
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07660-2252
Mailing Address - Country:US
Mailing Address - Phone:201-674-8661
Mailing Address - Fax:
Practice Address - Street 1:24 EDISON ST
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD PARK
Practice Address - State:NJ
Practice Address - Zip Code:07660-2252
Practice Address - Country:US
Practice Address - Phone:201-674-8661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-19
Last Update Date:2020-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC059581001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical