Provider Demographics
NPI:1972937860
Name:MARANA, ANDREA C (LCSW)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:C
Last Name:MARANA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 PALISADE AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-1110
Mailing Address - Country:US
Mailing Address - Phone:201-656-3116
Mailing Address - Fax:201-656-9044
Practice Address - Street 1:50 NORTHFIELD AVE
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-5320
Practice Address - Country:US
Practice Address - Phone:973-731-7505
Practice Address - Fax:973-731-7513
Is Sole Proprietor?:No
Enumeration Date:2013-08-27
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC054946001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical