Provider Demographics
NPI:1447982731
Name:FURSTNER, MARIEL CRISTINA (MSW, LSW)
Entity type:Individual
Prefix:
First Name:MARIEL
Middle Name:CRISTINA
Last Name:FURSTNER
Suffix:
Gender:
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1141
Mailing Address - Street 2:
Mailing Address - City:LOUISA
Mailing Address - State:VA
Mailing Address - Zip Code:23093-1141
Mailing Address - Country:US
Mailing Address - Phone:908-219-7884
Mailing Address - Fax:
Practice Address - Street 1:259 NEW BRUNSWICK AVE STE 202
Practice Address - Street 2:
Practice Address - City:FORDS
Practice Address - State:NJ
Practice Address - Zip Code:08863-2260
Practice Address - Country:US
Practice Address - Phone:609-744-6733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-27
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06788100104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker