Provider Demographics
NPI:1770863888
Name:MADDEN, KRISTEN ELIZABETH (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:ELIZABETH
Last Name:MADDEN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 MAIN ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-1935
Mailing Address - Country:US
Mailing Address - Phone:201-317-2655
Mailing Address - Fax:
Practice Address - Street 1:46 MAIN ST
Practice Address - Street 2:SUITE 301
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-1935
Practice Address - Country:US
Practice Address - Phone:201-317-2655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-19
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC054616001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical