Provider Demographics
NPI:1417838798
Name:BAEZ, CECILIA (MSW, CSW)
Entity type:Individual
Prefix:
First Name:CECILIA
Middle Name:
Last Name:BAEZ
Suffix:
Gender:F
Credentials:MSW, CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 COLUMBIA ST
Mailing Address - Street 2:
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07407-3011
Mailing Address - Country:US
Mailing Address - Phone:201-364-8012
Mailing Address - Fax:201-364-8012
Practice Address - Street 1:1719 NJ-10 E UNIT 29
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07050
Practice Address - Country:US
Practice Address - Phone:973-829-6960
Practice Address - Fax:973-829-6960
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SW054349001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical