Provider Demographics
NPI:1568528362
Name:DELLA BADIA, JANICE I (MSW)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:I
Last Name:DELLA BADIA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 44
Mailing Address - Street 2:
Mailing Address - City:MENDHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07945-0044
Mailing Address - Country:US
Mailing Address - Phone:973-895-7666
Mailing Address - Fax:973-895-1244
Practice Address - Street 1:447 ROUTE #10
Practice Address - Street 2:SUITE 11
Practice Address - City:RANDOLPH
Practice Address - State:NJ
Practice Address - Zip Code:07869
Practice Address - Country:US
Practice Address - Phone:973-895-7666
Practice Address - Fax:973-895-1244
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC051796001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical