Provider Demographics
NPI:1437485232
Name:SCONIERS, RANDOLPH DWAYNE (LCSW)
Entity Type:Individual
Prefix:MR
First Name:RANDOLPH
Middle Name:DWAYNE
Last Name:SCONIERS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 GRAMERCY GDNS
Mailing Address - Street 2:
Mailing Address - City:MIDDLESEX
Mailing Address - State:NJ
Mailing Address - Zip Code:08846-1687
Mailing Address - Country:US
Mailing Address - Phone:848-391-3704
Mailing Address - Fax:
Practice Address - Street 1:94 CHURCH ST
Practice Address - Street 2:SUITE 401
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-1238
Practice Address - Country:US
Practice Address - Phone:848-391-3704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-29
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC054048001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical