Provider Demographics
NPI:1417090283
Name:FALK, SHEILA A (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:A
Last Name:FALK
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 1:1G NOBHILL
Mailing Address - Street 2:
Mailing Address - City:ROSELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07068-3805
Mailing Address - Country:US
Mailing Address - Phone:973-338-3864
Mailing Address - Fax:
Practice Address - Street 1:1G NOBHILL
Practice Address - Street 2:
Practice Address - City:ROSELAND
Practice Address - State:NJ
Practice Address - Zip Code:07068-3805
Practice Address - Country:US
Practice Address - Phone:973-338-3864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2017-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSC009811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical