Provider Demographics
NPI:1184924805
Name:STUART, SABRINA (LCSW)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:STUART
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 1:570 W MOUNT PLEASANT AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-1688
Mailing Address - Country:US
Mailing Address - Phone:973-637-1753
Mailing Address - Fax:973-740-1590
Practice Address - Street 1:570 W MOUNT PLEASANT AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-1688
Practice Address - Country:US
Practice Address - Phone:973-637-1753
Practice Address - Fax:973-740-1590
Is Sole Proprietor?:No
Enumeration Date:2010-10-28
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC055433001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical