Provider Demographics
NPI:1093856254
Name:SCHLEY, NANCY ELLEN (MS, LCSW)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:ELLEN
Last Name:SCHLEY
Suffix:
Gender:F
Credentials:MS, 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 HEATHER WAY
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-2824
Mailing Address - Country:US
Mailing Address - Phone:732-698-0677
Mailing Address - Fax:732-698-0678
Practice Address - Street 1:24 HEATHER WAY
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-2824
Practice Address - Country:US
Practice Address - Phone:732-698-0677
Practice Address - Fax:732-698-0678
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC003885001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical