Provider Demographics
NPI:1508127192
Name:CERRADA-SHAPIRO, YVETTE (LCSW)
Entity Type:Individual
Prefix:
First Name:YVETTE
Middle Name:
Last Name:CERRADA-SHAPIRO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:724 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:BELVIDERE
Mailing Address - State:NJ
Mailing Address - Zip Code:07823-2017
Mailing Address - Country:US
Mailing Address - Phone:908-303-0534
Mailing Address - Fax:
Practice Address - Street 1:61 HIGH ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-1753
Practice Address - Country:US
Practice Address - Phone:973-300-1900
Practice Address - Fax:973-300-1902
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-31
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC051793001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical