1912212762 NPI number — MS. ANNA MURAWSKA MSW, LCSW, LCADC

Table of content: MS. ANNA MURAWSKA MSW, LCSW, LCADC (NPI 1912212762)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912212762 NPI number — MS. ANNA MURAWSKA MSW, LCSW, LCADC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MURAWSKA
Provider First Name:
ANNA
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MSW, LCSW, LCADC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KLEMENSOWICZ
Provider Other First Name:
ANNA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSW, LCSW, LCADC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1912212762
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/31/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
08/29/2011
NPI Reactivation Date:
10/23/2013

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 9231
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TRENTON
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08650-1231
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-960-2081
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
259 NASSAU ST # 1548
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PRINCETON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08542-4609
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-960-2081
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/17/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , with the licence number:  37LC00277400 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 104100000X , with the licence number: 44SL05639600 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: 44SC05553900 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)