Provider Demographics
NPI:1073942793
Name:WEINSTOCK, DEBORAH PEARL (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:PEARL
Last Name:WEINSTOCK
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 HARDING CT
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-5612
Mailing Address - Country:US
Mailing Address - Phone:973-641-3458
Mailing Address - Fax:
Practice Address - Street 1:24 HARDING CT
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-5612
Practice Address - Country:US
Practice Address - Phone:973-641-3458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-04
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC049961001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical