Provider Demographics
NPI:1235898545
Name:HESSLER, MIKE JR (LSW)
Entity Type:Individual
Prefix:
First Name:MIKE
Middle Name:
Last Name:HESSLER
Suffix:JR
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 1:1 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-1638
Mailing Address - Country:US
Mailing Address - Phone:908-230-2610
Mailing Address - Fax:
Practice Address - Street 1:1049 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-2801
Practice Address - Country:US
Practice Address - Phone:908-230-2610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-14
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchoolGroup - Single Specialty