Provider Demographics
NPI:1760209324
Name:JUSTE, VICTORIA (LSW, LMSW)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:JUSTE
Suffix:
Gender:F
Credentials:LSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 MAY ST
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07111-3440
Mailing Address - Country:US
Mailing Address - Phone:347-463-6659
Mailing Address - Fax:
Practice Address - Street 1:75 MAY ST
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-3440
Practice Address - Country:US
Practice Address - Phone:347-463-6659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY123980-01104100000X
NJ44SL07134100104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker