Provider Demographics
NPI:1225742752
Name:GONZALEZ SWANGER, CHRISTINA GLADYS (LSW, MSW)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:GLADYS
Last Name:GONZALEZ SWANGER
Suffix:
Gender:F
Credentials:LSW, MSW
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:GLADYS
Other - Last Name:GONZALEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW, MSW
Mailing Address - Street 1:171 VILLAGE GREEN WAY
Mailing Address - Street 2:
Mailing Address - City:HAZLET
Mailing Address - State:NJ
Mailing Address - Zip Code:07730-1231
Mailing Address - Country:US
Mailing Address - Phone:908-307-0867
Mailing Address - Fax:
Practice Address - Street 1:385 TREMONT AVE
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-1023
Practice Address - Country:US
Practice Address - Phone:973-676-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06711500104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker