Provider Demographics
NPI:1730293291
Name:PEIKES, PAULA SUSAN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:SUSAN
Last Name:PEIKES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 MUNICIPAL PLZ
Mailing Address - Street 2:ROOM 213
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-3470
Mailing Address - Country:US
Mailing Address - Phone:973-680-4017
Mailing Address - Fax:973-680-9017
Practice Address - Street 1:1 MUNICIPAL PLZ
Practice Address - Street 2:ROOM 213
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-3470
Practice Address - Country:US
Practice Address - Phone:973-680-4017
Practice Address - Fax:973-680-9017
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC053006001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical