Provider Demographics
NPI:1467103317
Name:PAIGE D. KLEINFELDT, LCSW, LLC
Entity Type:Organization
Organization Name:PAIGE D. KLEINFELDT, LCSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:PAIGE
Authorized Official - Middle Name:DANIELLE
Authorized Official - Last Name:KLEINFELDT
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:908-396-6027
Mailing Address - Street 1:130 BIRCH LN
Mailing Address - Street 2:
Mailing Address - City:BLOOMSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08804-4002
Mailing Address - Country:US
Mailing Address - Phone:908-396-6027
Mailing Address - Fax:
Practice Address - Street 1:12 LOWER CENTER ST STE 15
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NJ
Practice Address - Zip Code:08809-1423
Practice Address - Country:US
Practice Address - Phone:908-396-6027
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1760963086OtherLCSW