Provider Demographics
NPI:1407248834
Name:SAITOWITZ, JODI A (LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:JODI
Middle Name:A
Last Name:SAITOWITZ
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 GRAND COVE WAY APT 2E
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:07020-7215
Mailing Address - Country:US
Mailing Address - Phone:917-213-0130
Mailing Address - Fax:646-459-3989
Practice Address - Street 1:590 AVENUE OF THE AMERICAS
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-2022
Practice Address - Country:US
Practice Address - Phone:917-213-0130
Practice Address - Fax:646-459-3989
Is Sole Proprietor?:No
Enumeration Date:2015-02-23
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC051919001041C0700X
NY0746331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02850677Medicaid