Provider Demographics
NPI:1497474068
Name:WORTZEL, ARIELLE (LSW)
Entity Type:Individual
Prefix:MS
First Name:ARIELLE
Middle Name:
Last Name:WORTZEL
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 PAULDING AVE STE B
Mailing Address - Street 2:
Mailing Address - City:NORTHVALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07647-1428
Mailing Address - Country:US
Mailing Address - Phone:201-719-5919
Mailing Address - Fax:
Practice Address - Street 1:408 PAULDING AVE STE B
Practice Address - Street 2:
Practice Address - City:NORTHVALE
Practice Address - State:NJ
Practice Address - Zip Code:07647-1428
Practice Address - Country:US
Practice Address - Phone:201-719-5919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-25
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL068309001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical