Provider Demographics
NPI:1295401933
Name:HUSSEIN, PAULA A (LSW)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:A
Last Name:HUSSEIN
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:364 EDINBURG RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-1776
Mailing Address - Country:US
Mailing Address - Phone:917-929-4879
Mailing Address - Fax:
Practice Address - Street 1:364 EDINBURG RD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-1776
Practice Address - Country:US
Practice Address - Phone:917-929-4879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-22
Last Update Date:2021-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06559200104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty