Provider Demographics
NPI:1689545766
Name:HORNER, CECILIA ANNETTE (LSW)
Entity type:Individual
Prefix:
First Name:CECILIA
Middle Name:ANNETTE
Last Name:HORNER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07050-4057
Mailing Address - Country:US
Mailing Address - Phone:973-975-6205
Mailing Address - Fax:973-414-8549
Practice Address - Street 1:20 MAIN ST
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07050-4057
Practice Address - Country:US
Practice Address - Phone:973-975-6205
Practice Address - Fax:973-414-8549
Is Sole Proprietor?:No
Enumeration Date:2025-09-13
Last Update Date:2025-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL05601200104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker