Provider Demographics
NPI:1417021874
Name:MURPHY, MARY (MSW LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:
Last Name:MURPHY
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 1:1 MARINE VIEW PLZ APT 18C
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-5742
Mailing Address - Country:US
Mailing Address - Phone:201-714-4948
Mailing Address - Fax:201-659-9432
Practice Address - Street 1:223 BLOOMFIELD ST
Practice Address - Street 2:SUITE 105
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-4747
Practice Address - Country:US
Practice Address - Phone:201-714-4948
Practice Address - Fax:201-659-9432
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC004378001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical