Provider Demographics
NPI:1689731333
Name:WALFISH, NAFTOLI Y (LCSW)
Entity Type:Individual
Prefix:MR
First Name:NAFTOLI
Middle Name:Y
Last Name:WALFISH
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:NEIL
Other - Middle Name:
Other - Last Name:WALFISH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:65 KENSINGTON TER
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-5331
Mailing Address - Country:US
Mailing Address - Phone:973-901-5650
Mailing Address - Fax:
Practice Address - Street 1:349 FRANKLIN AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:NUTLEY
Practice Address - State:NJ
Practice Address - Zip Code:07110-4004
Practice Address - Country:US
Practice Address - Phone:973-901-5650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44 SC 052 76 5001041C0700X
NY059 8991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical