Provider Demographics
NPI:1528110251
Name:GIORDANO, ALAN J (LCSW)
Entity type:Individual
Prefix:MR
First Name:ALAN
Middle Name:J
Last Name:GIORDANO
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 1:27 FITZER RD
Mailing Address - Street 2:
Mailing Address - City:FRENCHTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08825-3902
Mailing Address - Country:US
Mailing Address - Phone:908-996-9015
Mailing Address - Fax:
Practice Address - Street 1:260 US HIGHWAY 202 31
Practice Address - Street 2:SUITE 300
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-1757
Practice Address - Country:US
Practice Address - Phone:908-788-0404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC001490001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ086686Medicare ID - Type Unspecified