Provider Demographics
NPI:1821168139
Name:MILLER-GERTZ, GILAN (LCSW)
Entity Type:Individual
Prefix:
First Name:GILAN
Middle Name:
Last Name:MILLER-GERTZ
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 1:642 BROAD ST
Mailing Address - Street 2:THE COUNSELING CENTER
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-1615
Mailing Address - Country:US
Mailing Address - Phone:973-472-0900
Mailing Address - Fax:201-337-8339
Practice Address - Street 1:642 BROAD ST
Practice Address - Street 2:THE COUNSELING CENTER
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-1615
Practice Address - Country:US
Practice Address - Phone:973-472-0900
Practice Address - Fax:201-337-8339
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC049010001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical