Provider Demographics
NPI:1295828739
Name:WOODS, STEVEN B SR (MSW, LCSW, DAPA)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:B
Last Name:WOODS
Suffix:SR
Gender:M
Credentials:MSW, LCSW, DAPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:POST OFFICE BOX 885
Mailing Address - Street 2:999 RARITAN ROAD
Mailing Address - City:CLARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07066-0885
Mailing Address - Country:US
Mailing Address - Phone:732-381-6118
Mailing Address - Fax:732-381-3491
Practice Address - Street 1:999 RARITAN ROAD
Practice Address - Street 2:
Practice Address - City:CLARK
Practice Address - State:NJ
Practice Address - Zip Code:07066-0885
Practice Address - Country:US
Practice Address - Phone:732-381-6118
Practice Address - Fax:732-381-3491
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2009-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC045840001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ024963OtherMHN PROVIDER NO.
NJOXFORDOtherOXFORD PROVIDER NO.
NJCAQHOtherUNIVERSAL PROVIDER N.
NJ5870607OtherAETNA PROVIDER NO.
NJ160071OtherCOMPSYCH PROVIDER NO.
NJ160071OtherCOMPSYCH PROVIDER NO.
NJOXFORDOtherOXFORD PROVIDER NO.