Provider Demographics
NPI:1689899825
Name:RICHMAN, ILENE ANNE (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:ILENE
Middle Name:ANNE
Last Name:RICHMAN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MRS
Other - First Name:ILENE
Other - Middle Name:ANNE
Other - Last Name:SAPERSTEIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:14 LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-3327
Mailing Address - Country:US
Mailing Address - Phone:732-249-1580
Mailing Address - Fax:
Practice Address - Street 1:14 LAKE AVE
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-3327
Practice Address - Country:US
Practice Address - Phone:732-249-1580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC007489001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical