Provider Demographics
NPI:1760818587
Name:SWITZER, MARY MARGARET (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARY MARGARET
Middle Name:
Last Name:SWITZER
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 1:407 WARREN ST
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-1920
Mailing Address - Country:US
Mailing Address - Phone:908-370-9862
Mailing Address - Fax:
Practice Address - Street 1:1 BAY AVE
Practice Address - Street 2:HACKENSACK UMC MOUNTAINSIDE DIALYSIS
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-4837
Practice Address - Country:US
Practice Address - Phone:973-429-6767
Practice Address - Fax:973-680-7760
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-25
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052255001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical