Provider Demographics
NPI:1326200189
Name:LADDEN, DIANA MAUD (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DIANA
Middle Name:MAUD
Last Name:LADDEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29A VENTNOR DR
Mailing Address - Street 2:
Mailing Address - City:MONROE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-5256
Mailing Address - Country:US
Mailing Address - Phone:609-655-2994
Mailing Address - Fax:
Practice Address - Street 1:29A VENTNOR DR
Practice Address - Street 2:
Practice Address - City:MONROE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08831-5256
Practice Address - Country:US
Practice Address - Phone:609-655-2994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-01
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC014323001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical