Provider Demographics
NPI:1154666410
Name:BHATTACHARYA, ADITI (LMSW)
Entity Type:Individual
Prefix:
First Name:ADITI
Middle Name:
Last Name:BHATTACHARYA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 WELDON ST
Mailing Address - Street 2:APT. 1
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-5779
Mailing Address - Country:US
Mailing Address - Phone:646-300-4632
Mailing Address - Fax:
Practice Address - Street 1:26 WELDON ST
Practice Address - Street 2:APT. 1
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-5779
Practice Address - Country:US
Practice Address - Phone:646-300-4632
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-27
Last Update Date:2017-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0856281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical