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Provider Information for 1770253932


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RONALD HENSON LCSW


Sex: Male

NPI: 1770253932
Last Updated: 2021-09-23
Certification Date: 2021-09-23

Details

NameValue
NPI1770253932
Enumeration Date2021-09-17
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 2 DELIKAT LN
SAYREVILLE, NJ 08872-2207
United States

Phone: 732-887-5421 | Fax:
 
Primary Practice Address 2 DELIKAT LN
SAYREVILLE, NJ 08872-2207
United States

Phone: 732-887-5421 | Fax:
 
Secondary Practice Address(es)

98120 QUEENS BLVD
REGO PARK, NY 11374-4357
United States

Phone: 718-830-0246 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalNJ44SC05731300