Provider Demographics
NPI:1942740733
Name:TAMI-BETH DANZIG
Entity Type:Organization
Organization Name:TAMI-BETH DANZIG
Other - Org Name:TEMIMA DANZIG, LCSW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:TAMI-BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:DANZIG
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:610-937-4422
Mailing Address - Street 1:130 GOLF CT
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-5634
Mailing Address - Country:US
Mailing Address - Phone:610-937-4422
Mailing Address - Fax:928-437-4422
Practice Address - Street 1:121 CEDAR LN
Practice Address - Street 2:SUITE 2D
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4457
Practice Address - Country:US
Practice Address - Phone:201-357-5796
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-28
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC056409001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty