Provider Demographics
NPI:1356468177
Name:MALGIERI, MARIA CONNIE (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:CONNIE
Last Name:MALGIERI
Suffix:
Gender:F
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 1:140 PROSPECT AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-2255
Mailing Address - Country:US
Mailing Address - Phone:201-488-6543
Mailing Address - Fax:201-488-6916
Practice Address - Street 1:140 PROSPECT AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-2255
Practice Address - Country:US
Practice Address - Phone:201-488-6543
Practice Address - Fax:201-488-6916
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC04549500174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist