Provider Demographics
NPI:1851941306
Name:SEIDMAN GREENBERG, ABBE JOY (LSW)
Entity Type:Individual
Prefix:
First Name:ABBE
Middle Name:JOY
Last Name:SEIDMAN GREENBERG
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:MS
Other - First Name:ABBE
Other - Middle Name:JOY
Other - Last Name:SEIDMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:177 GRIGGS AVE
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-4130
Mailing Address - Country:US
Mailing Address - Phone:201-394-6738
Mailing Address - Fax:
Practice Address - Street 1:790 GRANGE RD
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4237
Practice Address - Country:US
Practice Address - Phone:201-530-5770
Practice Address - Fax:201-530-5771
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-17
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
44SL059406001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical