Provider Demographics
NPI:1265832430
Name:SAUNDERS, NOELLE (LMSW)
Entity Type:Individual
Prefix:
First Name:NOELLE
Middle Name:
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 RICHMOND AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07079-2135
Mailing Address - Country:US
Mailing Address - Phone:973-747-4233
Mailing Address - Fax:
Practice Address - Street 1:415 RICHMOND AVE
Practice Address - Street 2:
Practice Address - City:SOUTH ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07079-2135
Practice Address - Country:US
Practice Address - Phone:973-747-4233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-25
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool