Provider Demographics
NPI:1831235597
Name:GANDHI, NEHA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:NEHA
Middle Name:
Last Name:GANDHI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:NEHA
Other - Middle Name:KIRIT
Other - Last Name:TAMAKUWALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:25 MARKET ST
Mailing Address - Street 2:UNIT 4B
Mailing Address - City:SADDLE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07663-4819
Mailing Address - Country:US
Mailing Address - Phone:201-880-6388
Mailing Address - Fax:
Practice Address - Street 1:33 S FULLERTON AVE
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-3358
Practice Address - Country:US
Practice Address - Phone:973-509-9777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC05246600101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health