Provider Demographics
NPI:1639325335
Name:ANJOS, ARLENE V (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ARLENE
Middle Name:V
Last Name:ANJOS
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 1:173 E GRANT AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:ROSELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07204-2026
Mailing Address - Country:US
Mailing Address - Phone:908-315-5947
Mailing Address - Fax:
Practice Address - Street 1:173 E GRANT AVE FL 2
Practice Address - Street 2:
Practice Address - City:ROSELLE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07204-2026
Practice Address - Country:US
Practice Address - Phone:908-315-5947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-13
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
NY078673-11041C0700X
NJ44SL055459001041C0700X
NJ44SC054859001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical