Provider Demographics
NPI:1235958307
Name:GREENWALD, CHAVA (LMSW)
Entity type:Individual
Prefix:
First Name:CHAVA
Middle Name:
Last Name:GREENWALD
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 LIBERTY BELL RD
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-0914
Mailing Address - Country:US
Mailing Address - Phone:347-423-2486
Mailing Address - Fax:
Practice Address - Street 1:128 LIBERTY BELL RD
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-0914
Practice Address - Country:US
Practice Address - Phone:347-423-2486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator