Provider Demographics
NPI:1316362049
Name:MEZA, ESTHER DENISE (LCSW)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:DENISE
Last Name:MEZA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:E
Other - Middle Name:DENISE
Other - Last Name:MEZA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:JD, MSW,LCSW
Mailing Address - Street 1:42 EDWARD CT
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-2832
Mailing Address - Country:US
Mailing Address - Phone:973-222-4375
Mailing Address - Fax:
Practice Address - Street 1:623 LAFAYETTE AVE # 204A
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NJ
Practice Address - Zip Code:07506-2439
Practice Address - Country:US
Practice Address - Phone:973-222-4375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-05
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC53975001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical