Provider Demographics
NPI:1669731089
Name:STEINITZ, MARIE MOONEY (LCSW)
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:MOONEY
Last Name:STEINITZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1845 HADDON AVE
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-3008
Mailing Address - Country:US
Mailing Address - Phone:856-366-0840
Mailing Address - Fax:856-964-1080
Practice Address - Street 1:1845 HADDON AVE
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-3008
Practice Address - Country:US
Practice Address - Phone:856-366-0840
Practice Address - Fax:856-964-1080
Is Sole Proprietor?:No
Enumeration Date:2012-05-04
Last Update Date:2012-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052857001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical