Provider Demographics
NPI:1093308751
Name:MOSKOVITS, BATSHEVA (LCSW)
Entity Type:Individual
Prefix:
First Name:BATSHEVA
Middle Name:
Last Name:MOSKOVITS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:BATSHEVA
Other - Middle Name:
Other - Last Name:HOFMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4 DE BELL CT
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-4510
Mailing Address - Country:US
Mailing Address - Phone:917-399-9595
Mailing Address - Fax:
Practice Address - Street 1:110 MAIN AVE
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-4427
Practice Address - Country:US
Practice Address - Phone:973-777-7638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-14
Last Update Date:2021-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY08221861041C0700X
NJ44SC058806001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical