Provider Demographics
NPI:1225856818
Name:MAJEWSKI, MARK K (LSW, MSW)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:K
Last Name:MAJEWSKI
Suffix:
Gender:M
Credentials:LSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 JILL TER
Mailing Address - Street 2:
Mailing Address - City:SUCCASUNNA
Mailing Address - State:NJ
Mailing Address - Zip Code:07876-1812
Mailing Address - Country:US
Mailing Address - Phone:973-970-4010
Mailing Address - Fax:
Practice Address - Street 1:20 VANDERHOOF AVE STE 2
Practice Address - Street 2:
Practice Address - City:ROCKAWAY
Practice Address - State:NJ
Practice Address - Zip Code:07866-3148
Practice Address - Country:US
Practice Address - Phone:973-586-5243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-01
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06783700104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker