Provider Demographics
NPI:1336284900
Name:SPIEGEL, ROY (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:ROY
Middle Name:
Last Name:SPIEGEL
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 HORIZON RD
Mailing Address - Street 2:#2008
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-6652
Mailing Address - Country:US
Mailing Address - Phone:201-886-9322
Mailing Address - Fax:
Practice Address - Street 1:616 E PALISADE AVE
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD CLIFFS
Practice Address - State:NJ
Practice Address - Zip Code:07632-1829
Practice Address - Country:US
Practice Address - Phone:201-894-0071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0736981041C0700X
NJ44SC05305800106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist