Provider Demographics
NPI:1154168565
Name:SIGUENCIA, NAYELLY YAMILEH (LSW)
Entity type:Individual
Prefix:MS
First Name:NAYELLY
Middle Name:YAMILEH
Last Name:SIGUENCIA
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:361 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07104-1429
Mailing Address - Country:US
Mailing Address - Phone:973-454-4322
Mailing Address - Fax:
Practice Address - Street 1:57 US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-8554
Practice Address - Country:US
Practice Address - Phone:973-353-1766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-11
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL071367001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical