Provider Demographics
NPI:1962228585
Name:MAROWITZ, STACEY (MA, LCADC)
Entity type:Individual
Prefix:
First Name:STACEY
Middle Name:
Last Name:MAROWITZ
Suffix:
Gender:F
Credentials:MA, LCADC
Other - Prefix:
Other - First Name:STACEY
Other - Middle Name:
Other - Last Name:BECKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LCADC
Mailing Address - Street 1:1259 US HIGHWAY 46 # 100A
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-4913
Mailing Address - Country:US
Mailing Address - Phone:973-316-9333
Mailing Address - Fax:
Practice Address - Street 1:1259 US HIGHWAY 46 # 100A
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-4913
Practice Address - Country:US
Practice Address - Phone:973-316-9333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-27
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00335700101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)