Provider Demographics
NPI:1578147872
Name:HEWLETT, DRESDIN N (LSW)
Entity Type:Individual
Prefix:
First Name:DRESDIN
Middle Name:N
Last Name:HEWLETT
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:DRESDIN
Other - Middle Name:N
Other - Last Name:ELLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1103 BITTERSWEET CT
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-1014
Mailing Address - Country:US
Mailing Address - Phone:609-949-3454
Mailing Address - Fax:
Practice Address - Street 1:668 MAIN ST
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048-5016
Practice Address - Country:US
Practice Address - Phone:609-667-7353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06575800104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty