Provider Demographics
NPI:1316024631
Name:SIERRA, NAYDA (MSW)
Entity Type:Individual
Prefix:
First Name:NAYDA
Middle Name:
Last Name:SIERRA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 WHITESANDS WAY
Mailing Address - Street 2:
Mailing Address - City:LITTLE SILVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07739-1241
Mailing Address - Country:US
Mailing Address - Phone:732-450-1040
Mailing Address - Fax:732-450-0120
Practice Address - Street 1:31 WHITESANDS WAY
Practice Address - Street 2:
Practice Address - City:LITTLE SILVER
Practice Address - State:NJ
Practice Address - Zip Code:07739-1241
Practice Address - Country:US
Practice Address - Phone:732-450-1040
Practice Address - Fax:732-450-0120
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPRO13767-11041C0700X
NJ44SC052947001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical