Provider Demographics
NPI:1548418056
Name:MICHAELS-DEBLANK, RONI (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:RONI
Middle Name:
Last Name:MICHAELS-DEBLANK
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:RONI
Other - Middle Name:
Other - Last Name:MICHAELS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10 BROACH WAY
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-1166
Mailing Address - Country:US
Mailing Address - Phone:908-371-1494
Mailing Address - Fax:
Practice Address - Street 1:303 OMNI DR
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-4526
Practice Address - Country:US
Practice Address - Phone:908-938-6794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC00587000101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health