Provider Demographics
NPI:1285798355
Name:CHOI, ANTOINETTE T (MS, LCSW)
Entity type:Individual
Prefix:MRS
First Name:ANTOINETTE
Middle Name:T
Last Name:CHOI
Suffix:
Gender:F
Credentials:MS, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 SPEEDWELL AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950-2132
Mailing Address - Country:US
Mailing Address - Phone:973-984-9100
Mailing Address - Fax:973-984-9181
Practice Address - Street 1:520 SPEEDWELL AVE STE 108
Practice Address - Street 2:
Practice Address - City:MORRIS PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07950-2132
Practice Address - Country:US
Practice Address - Phone:973-984-9100
Practice Address - Fax:973-984-9181
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC044069001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical