Provider Demographics
NPI:1215257951
Name:COSENTINO, MARIA P (MSW, MA, LCSW)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:P
Last Name:COSENTINO
Suffix:
Gender:F
Credentials:MSW, MA, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 HOPPER AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:WALDWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:07463-1517
Mailing Address - Country:US
Mailing Address - Phone:201-445-7448
Mailing Address - Fax:201-445-7448
Practice Address - Street 1:85 HOPPER AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:WALDWICK
Practice Address - State:NJ
Practice Address - Zip Code:07463-1517
Practice Address - Country:US
Practice Address - Phone:201-445-7448
Practice Address - Fax:201-445-7448
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-04
Last Update Date:2010-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC54271001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical