Provider Demographics
NPI:1770756314
Name:EISNER, NANCY JANICE (MSW)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:JANICE
Last Name:EISNER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 CLEVERDON RD
Mailing Address - Street 2:
Mailing Address - City:HO HO KUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07423-1614
Mailing Address - Country:US
Mailing Address - Phone:201-327-1616
Mailing Address - Fax:201-493-8981
Practice Address - Street 1:37 CLEVERDON RD
Practice Address - Street 2:
Practice Address - City:HO HO KUS
Practice Address - State:NJ
Practice Address - Zip Code:07423-1614
Practice Address - Country:US
Practice Address - Phone:201-327-1616
Practice Address - Fax:201-493-8981
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-03
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0731941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical