Provider Demographics
NPI:1336475235
Name:FEINSOD, DEBORAH H (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:H
Last Name:FEINSOD
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 1:52 IDAHO ST
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-3337
Mailing Address - Country:US
Mailing Address - Phone:973-777-0455
Mailing Address - Fax:
Practice Address - Street 1:52 IDAHO ST
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-3337
Practice Address - Country:US
Practice Address - Phone:973-777-0455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-27
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSC44036061041C0700X
NY3288511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical