Provider Demographics
NPI:1265983043
Name:STEIN, DAYNA (LSW)
Entity type:Individual
Prefix:
First Name:DAYNA
Middle Name:
Last Name:STEIN
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 BROAD ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-2154
Mailing Address - Country:US
Mailing Address - Phone:732-747-8818
Mailing Address - Fax:732-747-8918
Practice Address - Street 1:316 BROAD ST
Practice Address - Street 2:SUITE 1
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-2154
Practice Address - Country:US
Practice Address - Phone:732-747-8818
Practice Address - Fax:732-747-8918
Is Sole Proprietor?:No
Enumeration Date:2016-10-17
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06218200104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker