Provider Demographics
NPI:1023380888
Name:MCGUINNESS, ELIZABETH JOANNA (LCSW, LMSW, CSAT)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:JOANNA
Last Name:MCGUINNESS
Suffix:
Gender:F
Credentials:LCSW, LMSW, CSAT
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:JOANNA
Other - Last Name:SCHMIDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:402 MAIN ST STE 100-265
Mailing Address - Street 2:
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-1846
Mailing Address - Country:US
Mailing Address - Phone:917-670-5664
Mailing Address - Fax:848-260-3074
Practice Address - Street 1:402 MAIN ST STE 202
Practice Address - Street 2:
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-1893
Practice Address - Country:US
Practice Address - Phone:917-670-5664
Practice Address - Fax:848-260-3074
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-08
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY092172101YM0800X
NJ44SC057624001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health