Provider Demographics
NPI:1902630304
Name:NANTON, NIA (LSW)
Entity type:Individual
Prefix:
First Name:NIA
Middle Name:
Last Name:NANTON
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:658 MIDDLESEX AVE APT 208
Mailing Address - Street 2:
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-2054
Mailing Address - Country:US
Mailing Address - Phone:347-570-7347
Mailing Address - Fax:
Practice Address - Street 1:14 BORDEN PL
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-2123
Practice Address - Country:US
Practice Address - Phone:347-570-7347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL066428001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical