Provider Demographics
NPI:1225717259
Name:JANVIER, RICARDO (LSW)
Entity Type:Individual
Prefix:
First Name:RICARDO
Middle Name:
Last Name:JANVIER
Suffix:
Gender:M
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 CAMPBELL ST APT 104
Mailing Address - Street 2:
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-3284
Mailing Address - Country:US
Mailing Address - Phone:732-630-3533
Mailing Address - Fax:
Practice Address - Street 1:1420 CAMPBELL ST APT 104
Practice Address - Street 2:
Practice Address - City:RAHWAY
Practice Address - State:NJ
Practice Address - Zip Code:07065-3284
Practice Address - Country:US
Practice Address - Phone:732-630-3533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL05616700104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker