Provider Demographics
NPI:1548621535
Name:BATTISTON, RONALD I (LCSW)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:
Last Name:BATTISTON
Suffix:I
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 1:421 PALISADE AVE APT 1B
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07307-1600
Mailing Address - Country:US
Mailing Address - Phone:201-693-1304
Mailing Address - Fax:
Practice Address - Street 1:421 PALISADE AVE APT 1B
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07307-1600
Practice Address - Country:US
Practice Address - Phone:201-693-1304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-17
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC056119001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical