Provider Demographics
NPI:1114075660
Name:ADOLFSEN, SYLVIA ANN (LCSW)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:ANN
Last Name:ADOLFSEN
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 1:10 CENTER LN
Mailing Address - Street 2:
Mailing Address - City:SUCCASUNNA
Mailing Address - State:NJ
Mailing Address - Zip Code:07876-2005
Mailing Address - Country:US
Mailing Address - Phone:973-598-1048
Mailing Address - Fax:
Practice Address - Street 1:100 HANOVER AVENUE
Practice Address - Street 2:SAINT CLARE'S BEHAVIORAL HEALTH CENTER
Practice Address - City:CEDAR KNOLLS
Practice Address - State:NJ
Practice Address - Zip Code:07927-2020
Practice Address - Country:US
Practice Address - Phone:073-401-2121
Practice Address - Fax:973-401-2140
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC045642001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical