Provider Demographics
NPI:1215534714
Name:GARFINKEL, RANDI RAIZEL (LCSW)
Entity Type:Individual
Prefix:MS
First Name:RANDI
Middle Name:RAIZEL
Last Name:GARFINKEL
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 1:59 BOND ST
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-4500
Mailing Address - Country:US
Mailing Address - Phone:973-692-8324
Mailing Address - Fax:
Practice Address - Street 1:59 BOND ST
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-4500
Practice Address - Country:US
Practice Address - Phone:908-227-8622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-07
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC054120001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical