Provider Demographics
NPI:1528141298
Name:PFEFFER, ALAN (LCSW)
Entity type:Individual
Prefix:MR
First Name:ALAN
Middle Name:
Last Name:PFEFFER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 NAMI LN
Mailing Address - Street 2:SUITE 10
Mailing Address - City:MERCERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-1251
Mailing Address - Country:US
Mailing Address - Phone:609-890-1660
Mailing Address - Fax:732-946-2435
Practice Address - Street 1:1 NAMI LN
Practice Address - Street 2:SUITE 10
Practice Address - City:MERCERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08619-1251
Practice Address - Country:US
Practice Address - Phone:609-890-1660
Practice Address - Fax:732-946-2435
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC045338001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical