Provider Demographics
NPI:1780131896
Name:PILLARELLA, MARYANN B (LCSW)
Entity type:Individual
Prefix:
First Name:MARYANN
Middle Name:B
Last Name:PILLARELLA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 EXECUTIVE DR
Mailing Address - Street 2:
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950-2155
Mailing Address - Country:US
Mailing Address - Phone:973-285-0006
Mailing Address - Fax:973-285-0067
Practice Address - Street 1:3155 STATE ROUTE 10 STE 204
Practice Address - Street 2:
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-3430
Practice Address - Country:US
Practice Address - Phone:973-969-1290
Practice Address - Fax:973-285-0067
Is Sole Proprietor?:No
Enumeration Date:2016-09-07
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC057957001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical