Provider Demographics
NPI:1427591890
Name:HOLLENDER, MARY DAE (LMSW)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:DAE
Last Name:HOLLENDER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 WILLIAM ST
Mailing Address - Street 2:APT E-15
Mailing Address - City:LITTLE FERRY
Mailing Address - State:NJ
Mailing Address - Zip Code:07643-1771
Mailing Address - Country:US
Mailing Address - Phone:201-753-8700
Mailing Address - Fax:
Practice Address - Street 1:755 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-1902
Practice Address - Country:US
Practice Address - Phone:845-708-2000
Practice Address - Fax:845-708-7040
Is Sole Proprietor?:No
Enumeration Date:2016-12-02
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP04131104100000X
NJ44SL06114500104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker