Provider Demographics
NPI:1285227827
Name:NEREA JAYO-SCHIELKE LLC
Entity Type:Organization
Organization Name:NEREA JAYO-SCHIELKE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:L.C.S.W
Authorized Official - Prefix:
Authorized Official - First Name:NEREA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAYO-SCHIELKE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:973-932-0881
Mailing Address - Street 1:1581 NJ-23
Mailing Address - Street 2:#2
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470
Mailing Address - Country:US
Mailing Address - Phone:973-932-0881
Mailing Address - Fax:201-595-0290
Practice Address - Street 1:1581 NJ-23
Practice Address - Street 2:#2
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470
Practice Address - Country:US
Practice Address - Phone:973-932-0881
Practice Address - Fax:201-595-0290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-15
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty