Provider Demographics
NPI:1720827835
Name:STUMPF, ELIZABETH (MSW,LSW)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:STUMPF
Suffix:
Gender:F
Credentials:MSW,LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3175 RT. 10, BUILDING C, SUITE 700
Mailing Address - Street 2:
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834
Mailing Address - Country:US
Mailing Address - Phone:862-217-5172
Mailing Address - Fax:888-384-2561
Practice Address - Street 1:3175 RT. 10, BUILDING C, SUITE 700
Practice Address - Street 2:
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834
Practice Address - Country:US
Practice Address - Phone:862-217-5172
Practice Address - Fax:888-384-2561
Is Sole Proprietor?:No
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL070815001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical