Provider Demographics
NPI:1487610408
Name:FROTTON, AVA M (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:AVA
Middle Name:M
Last Name:FROTTON
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:339 CHANGEBRIDGE RD
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:PINE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07058-9576
Mailing Address - Country:US
Mailing Address - Phone:973-808-5151
Mailing Address - Fax:973-808-0089
Practice Address - Street 1:339 CHANGEBRIDGE RD
Practice Address - Street 2:SUITE 1A
Practice Address - City:PINE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07058-9576
Practice Address - Country:US
Practice Address - Phone:973-808-5151
Practice Address - Fax:973-808-0089
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052338001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical