Provider Demographics
NPI:1952497976
Name:STEINHARDT, JUDITH L
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:L
Last Name:STEINHARDT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JUDITH
Other - Middle Name:L
Other - Last Name:ZUCKERMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:200 METROPLEX DR STE 200
Mailing Address - Street 2:SUITE 200
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-2600
Mailing Address - Country:US
Mailing Address - Phone:732-777-1940
Mailing Address - Fax:732-777-1889
Practice Address - Street 1:200 METROPLEX DR STE 200
Practice Address - Street 2:SUITE 200
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-2600
Practice Address - Country:US
Practice Address - Phone:732-777-1940
Practice Address - Fax:732-777-1989
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0428891104100000X
NJ1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ023842Medicare ID - Type Unspecified