Provider Demographics
NPI:1295903243
Name:BEER, JUDITH (PHD, LCSW)
Entity type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:
Last Name:BEER
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 SHERMAN AVE
Mailing Address - Street 2:6B
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07307-2264
Mailing Address - Country:US
Mailing Address - Phone:201-656-0043
Mailing Address - Fax:
Practice Address - Street 1:44 SHERMAN AVE
Practice Address - Street 2:6B
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07307-2264
Practice Address - Country:US
Practice Address - Phone:646-260-8229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-12
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC053402001041C0700X
NYPRO16210-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
11803946OtherCAQH