Provider Demographics
NPI:1497118475
Name:DUBLINSKY, SONDRA (LSW, LCADC)
Entity Type:Individual
Prefix:MS
First Name:SONDRA
Middle Name:
Last Name:DUBLINSKY
Suffix:
Gender:F
Credentials:LSW, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 PINE KNOLL CIR
Mailing Address - Street 2:
Mailing Address - City:MAYS LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:08330-4921
Mailing Address - Country:US
Mailing Address - Phone:609-626-2076
Mailing Address - Fax:
Practice Address - Street 1:114 PINE KNOLL CIR
Practice Address - Street 2:
Practice Address - City:MAYS LANDING
Practice Address - State:NJ
Practice Address - Zip Code:08330-4921
Practice Address - Country:US
Practice Address - Phone:609-626-2076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-29
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00166300101YA0400X
NJ44SL06124300104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)