Provider Demographics
NPI:1215773700
Name:KINOIAN, NATALIE ANOUSH (MSW, LSW)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:ANOUSH
Last Name:KINOIAN
Suffix:
Gender:
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:377 ELLIOT PL
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-4647
Mailing Address - Country:US
Mailing Address - Phone:551-697-0841
Mailing Address - Fax:
Practice Address - Street 1:377 ELLIOT PL
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-4647
Practice Address - Country:US
Practice Address - Phone:908-800-2099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-03
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL07143100104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker