Provider Demographics
NPI:1376546218
Name:STEINBERG, SHELLEY C (MSW, LCSW, LMFT)
Entity Type:Individual
Prefix:MS
First Name:SHELLEY
Middle Name:C
Last Name:STEINBERG
Suffix:
Gender:F
Credentials:MSW, LCSW, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 MOUNTAIN AVE
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07506-3331
Mailing Address - Country:US
Mailing Address - Phone:973-427-7867
Mailing Address - Fax:973-427-1862
Practice Address - Street 1:35 MOUNTAIN AVE
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NJ
Practice Address - Zip Code:07506-3331
Practice Address - Country:US
Practice Address - Phone:973-427-7867
Practice Address - Fax:973-427-1862
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC000369001041C0700X
NJ37FI00114600106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist