Provider Demographics
NPI:1154699957
Name:STRONG, KATHRYN LEIGH BRUCIA (LCSW)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:LEIGH BRUCIA
Last Name:STRONG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:LEIGH
Other - Last Name:BRUCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:162 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-5035
Mailing Address - Country:US
Mailing Address - Phone:908-399-8848
Mailing Address - Fax:
Practice Address - Street 1:123 COLUMBIA TPKE STE 202B
Practice Address - Street 2:
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-2122
Practice Address - Country:US
Practice Address - Phone:908-602-7641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-07
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC054854001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical