Provider Demographics
NPI:1447393608
Name:FARBMAN, JUDITH RENEE (MSW, LCSW, ACSW)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:RENEE
Last Name:FARBMAN
Suffix:
Gender:F
Credentials:MSW, LCSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 PRESCOTT AVE
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-5029
Mailing Address - Country:US
Mailing Address - Phone:973-746-4420
Mailing Address - Fax:
Practice Address - Street 1:33 PRESCOTT AVE
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-5029
Practice Address - Country:US
Practice Address - Phone:973-746-4420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC004383001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical