Provider Demographics
NPI:1538547054
Name:MALESKO-FERRARO, ANNA CHRISTEN (MSS)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:CHRISTEN
Last Name:MALESKO-FERRARO
Suffix:
Gender:F
Credentials:MSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 PLEASANT GROVE RD
Mailing Address - Street 2:
Mailing Address - City:LONG VALLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07853-3446
Mailing Address - Country:US
Mailing Address - Phone:908-507-0818
Mailing Address - Fax:
Practice Address - Street 1:17 PLEASANT GROVE RD
Practice Address - Street 2:
Practice Address - City:LONG VALLEY
Practice Address - State:NJ
Practice Address - Zip Code:07853-3446
Practice Address - Country:US
Practice Address - Phone:908-507-0818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-16
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC048952001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical