Provider Demographics
NPI:1700504263
Name:BISWAS, CONA (LSW)
Entity Type:Individual
Prefix:
First Name:CONA
Middle Name:
Last Name:BISWAS
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 1:9 TULIP DR APT 3E
Mailing Address - Street 2:
Mailing Address - City:FORDS
Mailing Address - State:NJ
Mailing Address - Zip Code:08863-1146
Mailing Address - Country:US
Mailing Address - Phone:732-570-0471
Mailing Address - Fax:
Practice Address - Street 1:9 TULIP DR APT 3E
Practice Address - Street 2:
Practice Address - City:FORDS
Practice Address - State:NJ
Practice Address - Zip Code:08863-1146
Practice Address - Country:US
Practice Address - Phone:732-570-0471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-19
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06834900104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker