Provider Demographics
NPI:1326624784
Name:AUSLANDER, ALIZA (LSW)
Entity Type:Individual
Prefix:
First Name:ALIZA
Middle Name:
Last Name:AUSLANDER
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 1:710 GRAND AVE APT 8
Mailing Address - Street 2:
Mailing Address - City:ASBURY PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-6655
Mailing Address - Country:US
Mailing Address - Phone:201-556-8031
Mailing Address - Fax:
Practice Address - Street 1:8 PRODUCTION WAY
Practice Address - Street 2:
Practice Address - City:AVENEL
Practice Address - State:NJ
Practice Address - Zip Code:07001-1660
Practice Address - Country:US
Practice Address - Phone:732-699-8036
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-24
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC059901001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical