Provider Demographics
NPI:1295879724
Name:HONAN, ARTHUR (LCSW)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:
Last Name:HONAN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 N MAPLE AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-3255
Mailing Address - Country:US
Mailing Address - Phone:201-251-6565
Mailing Address - Fax:201-291-2190
Practice Address - Street 1:61 N MAPLE AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-3255
Practice Address - Country:US
Practice Address - Phone:201-251-6565
Practice Address - Fax:201-291-2190
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSC0000411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ845990Medicare ID - Type Unspecified