Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. DIANE JEAN IVANOV, LCSW
ActiveClinical Social Worker · MILLTOWN, NJ
Registration Details
- NPI Number
- 1932183100
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 1, 2005 (20.436746683294 yrs)
- Last Updated
- Apr 12, 2017
- Licenses
-
44SC04824800 (NJ)R049698-1 (NY)
Practice Information
- Address
-
77 N MAIN STSTE 4MILLTOWN, NJ, 088501521Browse NJ providers · Browse ZIP 08850
- Phone
- 7184961149
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in MILLTOWN, NJ
| Name | Credential | NPI |
|---|---|---|
| MESHRAKI MINA | LCSW | 1821153966 |
| QIYING ZHOU | LCSW | 1033259494 |
| AMY L FORSELL | LCSW | 1346468741 |
| MRS. STACEY MICHELLE TROICKI | LCSW | 1659692077 |
| MS. LAURA PHYLLIS CRISAFI | LCSW | 1376849075 |
| MS. LESLIE YOUNG | LCSW | 1043559388 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.