Provider Demographics
NPI:1295919462
Name:GRINER SINIAVSKY, MARGARET E (LSW)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:E
Last Name:GRINER SINIAVSKY
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 1:2464 MAYS LANDING RD
Mailing Address - Street 2:
Mailing Address - City:MILLVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08332-1102
Mailing Address - Country:US
Mailing Address - Phone:856-825-9434
Mailing Address - Fax:856-453-4597
Practice Address - Street 1:54 WEST BROAD STREET
Practice Address - Street 2:CCDOD
Practice Address - City:BRIDGETON
Practice Address - State:NJ
Practice Address - Zip Code:08302
Practice Address - Country:US
Practice Address - Phone:856-453-4678
Practice Address - Fax:856-453-4597
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-24
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL048808001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical