Provider Demographics
NPI:1942765433
Name:NAZELI M. AFARIAN LLC
Entity Type:Organization
Organization Name:NAZELI M. AFARIAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDNET
Authorized Official - Prefix:MRS
Authorized Official - First Name:NAZELI
Authorized Official - Middle Name:M
Authorized Official - Last Name:AFARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:201-463-5087
Mailing Address - Street 1:466 KINDERKAMACK RD
Mailing Address - Street 2:
Mailing Address - City:ORADELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07649-1536
Mailing Address - Country:US
Mailing Address - Phone:201-463-5087
Mailing Address - Fax:
Practice Address - Street 1:466 KINDERKAMACK RD
Practice Address - Street 2:
Practice Address - City:ORADELL
Practice Address - State:NJ
Practice Address - Zip Code:07649-1536
Practice Address - Country:US
Practice Address - Phone:201-463-5087
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-08
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty