Provider Demographics
NPI:1962520148
Name:VARAN, WALTER JOSEPH (LCSW)
Entity type:Individual
Prefix:MR
First Name:WALTER
Middle Name:JOSEPH
Last Name:VARAN
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 1:46 FEDERAL CITY RD
Mailing Address - Street 2:
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08638-1321
Mailing Address - Country:US
Mailing Address - Phone:609-771-0629
Mailing Address - Fax:609-771-0629
Practice Address - Street 1:46 FEDERAL CITY RD
Practice Address - Street 2:ADVANCED BEHAVIORAL CARE
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08638-1321
Practice Address - Country:US
Practice Address - Phone:609-771-0629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSC473801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ033106Medicare ID - Type Unspecified