Provider Demographics
NPI:1083168421
Name:KAZIMI-CONTRACTOR, MAERAJ (LPC, LCADC)
Entity Type:Individual
Prefix:
First Name:MAERAJ
Middle Name:
Last Name:KAZIMI-CONTRACTOR
Suffix:
Gender:F
Credentials:LPC, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 DELANEY CT
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-5568
Mailing Address - Country:US
Mailing Address - Phone:860-329-3680
Mailing Address - Fax:
Practice Address - Street 1:2 DELANEY CT
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-5568
Practice Address - Country:US
Practice Address - Phone:860-329-3680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0023701Medicaid