Provider Demographics
NPI:1881344224
Name:FAYNBERG, VICTORIA (LMSW)
Entity type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:
Last Name:FAYNBERG
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 1:565 FALETTI WAY
Mailing Address - Street 2:
Mailing Address - City:RIVER VALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-6037
Mailing Address - Country:US
Mailing Address - Phone:347-405-0505
Mailing Address - Fax:
Practice Address - Street 1:565 FALETTI WAY
Practice Address - Street 2:
Practice Address - City:RIVER VALE
Practice Address - State:NJ
Practice Address - Zip Code:07675-6037
Practice Address - Country:US
Practice Address - Phone:347-405-0505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-28
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY083544104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker