Provider Demographics
NPI:1467607200
Name:WINGERATH, TAMINI JOY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:TAMINI
Middle Name:JOY
Last Name:WINGERATH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:222 KINDERKAMACK ROAD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ORADELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07649
Mailing Address - Country:US
Mailing Address - Phone:201-262-6704
Mailing Address - Fax:201-501-0249
Practice Address - Street 1:222 KINDERKAMACK RD
Practice Address - Street 2:SUITE 102
Practice Address - City:ORADELL
Practice Address - State:NJ
Practice Address - Zip Code:07649-2259
Practice Address - Country:US
Practice Address - Phone:201-262-6704
Practice Address - Fax:201-501-0249
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-20
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ030567Medicare Oscar/Certification