Provider Demographics
NPI:1548530314
Name:ORESKI, STEPHEN J (LCSW)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:J
Last Name:ORESKI
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 1:15 FARVIEW TER
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-2703
Mailing Address - Country:US
Mailing Address - Phone:551-579-4441
Mailing Address - Fax:201-301-7393
Practice Address - Street 1:15 FARVIEW TER
Practice Address - Street 2:SUITE 1
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-2703
Practice Address - Country:US
Practice Address - Phone:551-579-4441
Practice Address - Fax:201-301-7393
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-10
Last Update Date:2019-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC054836001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ623520217Medicare PIN