Provider Demographics
NPI:1083921027
Name:METZGER, PAULA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:
Last Name:METZGER
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 1:1156 E RIDGEWOOD AVE
Mailing Address - Street 2:STE 11
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-3927
Mailing Address - Country:US
Mailing Address - Phone:201-602-4354
Mailing Address - Fax:
Practice Address - Street 1:1156 E RIDGEWOOD AVE
Practice Address - Street 2:STE 11
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-3927
Practice Address - Country:US
Practice Address - Phone:201-934-1160
Practice Address - Fax:201-934-0019
Is Sole Proprietor?:No
Enumeration Date:2010-09-13
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC054368001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical