Provider Demographics
NPI:1144104191
Name:KREISINGER, PAUL DENNIS (LCSW)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:DENNIS
Last Name:KREISINGER
Suffix:
Gender:X
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 ELLIOTT PL
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07070-1951
Mailing Address - Country:US
Mailing Address - Phone:201-939-3336
Mailing Address - Fax:201-939-7789
Practice Address - Street 1:51 ELLIOTT PL
Practice Address - Street 2:
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-1951
Practice Address - Country:US
Practice Address - Phone:201-939-3336
Practice Address - Fax:201-939-7789
Is Sole Proprietor?:No
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC056331001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical