Provider Demographics
NPI:1336789726
Name:MESSENGER, JUDITH L
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:L
Last Name:MESSENGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JUDITH
Other - Middle Name:L
Other - Last Name:MESSENGER-DELGADO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:17 ARROWHEAD DR
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-2106
Mailing Address - Country:US
Mailing Address - Phone:856-220-9523
Mailing Address - Fax:
Practice Address - Street 1:17 ARROWHEAD DR
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-2106
Practice Address - Country:US
Practice Address - Phone:856-220-9523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-14
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052128001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical