Provider Demographics
NPI:1740412527
Name:CLEERDIN, ELIZABETH (MSW, LCSW, RPT)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:CLEERDIN
Suffix:
Gender:F
Credentials:MSW, LCSW, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:518 PROSPECT AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:LITTLE SILVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07739-1454
Mailing Address - Country:US
Mailing Address - Phone:732-345-0200
Mailing Address - Fax:732-345-7300
Practice Address - Street 1:518 PROSPECT AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:LITTLE SILVER
Practice Address - State:NJ
Practice Address - Zip Code:07739-1454
Practice Address - Country:US
Practice Address - Phone:732-345-0200
Practice Address - Fax:732-345-7300
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-13
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC046786001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical