Provider Demographics
NPI:1659889590
Name:COMEY, DEIRDRE MARGARET (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DEIRDRE
Middle Name:MARGARET
Last Name:COMEY
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:PO BOX 8229
Mailing Address - Street 2:
Mailing Address - City:GLEN RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07028-8229
Mailing Address - Country:US
Mailing Address - Phone:973-951-5547
Mailing Address - Fax:
Practice Address - Street 1:222 KINDERKAMACK RD STE 102
Practice Address - Street 2:
Practice Address - City:ORADELL
Practice Address - State:NJ
Practice Address - Zip Code:07649-2259
Practice Address - Country:US
Practice Address - Phone:973-951-5547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-12
Last Update Date:2018-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC056679001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical