Provider Demographics
NPI:1699459941
Name:JOSELIN HERRERA, LCSW P.C
Entity type:Organization
Organization Name:JOSELIN HERRERA, LCSW P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSELIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRERA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:917-410-8189
Mailing Address - Street 1:1078 SUMMIT AVE # 700
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07307-3438
Mailing Address - Country:US
Mailing Address - Phone:917-410-8189
Mailing Address - Fax:
Practice Address - Street 1:1078 SUMMIT AVE # 700
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07307-3438
Practice Address - Country:US
Practice Address - Phone:917-410-8189
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health