Provider Demographics
NPI:1124106562
Name:JEWISH FAMILY SERVICE OF SOMSERSET, HUNTERDON, WARREN COUNTIES
Entity type:Organization
Organization Name:JEWISH FAMILY SERVICE OF SOMSERSET, HUNTERDON, WARREN COUNTIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TOVA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:908-725-7799
Mailing Address - Street 1:6 QUAKER RD
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-7205
Mailing Address - Country:US
Mailing Address - Phone:908-284-2678
Mailing Address - Fax:
Practice Address - Street 1:6 QUAKER RD
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-7205
Practice Address - Country:US
Practice Address - Phone:908-284-2678
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC045510001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty