Provider Demographics
NPI:1245762137
Name:NAVARIN, ROGENA
Entity Type:Individual
Prefix:
First Name:ROGENA
Middle Name:
Last Name:NAVARIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:983 STUYVESANT AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07111-1137
Mailing Address - Country:US
Mailing Address - Phone:732-682-3980
Mailing Address - Fax:
Practice Address - Street 1:590 N 7TH ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07107-2522
Practice Address - Country:US
Practice Address - Phone:973-596-3835
Practice Address - Fax:973-596-3834
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-30
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker