Provider Demographics
NPI:1962828582
Name:ARLEA, JEAN (MDIV, MSW LSW)
Entity Type:Individual
Prefix:MS
First Name:JEAN
Middle Name:
Last Name:ARLEA
Suffix:
Gender:F
Credentials:MDIV, MSW LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 MORRIS AVENUE
Mailing Address - Street 2:ST. CLARE'S ENHANCED OUTPATIENT PROGRAM
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834
Mailing Address - Country:US
Mailing Address - Phone:973-625-0096
Mailing Address - Fax:
Practice Address - Street 1:50 MORRIS AVE
Practice Address - Street 2:ST. CLARE'S ENHANCED OUTPATIENT PROGRAM
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-1735
Practice Address - Country:US
Practice Address - Phone:973-625-0096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-06
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL053801001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical