Provider Demographics
NPI:1942038849
Name:CIUBA, ADRIANNE
Entity type:Individual
Prefix:
First Name:ADRIANNE
Middle Name:
Last Name:CIUBA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3413 LISBON AVE
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-4821
Mailing Address - Country:US
Mailing Address - Phone:973-309-2399
Mailing Address - Fax:
Practice Address - Street 1:1701 NEW YORK AVE
Practice Address - Street 2:
Practice Address - City:EGG HARBOR CITY
Practice Address - State:NJ
Practice Address - Zip Code:08215-1606
Practice Address - Country:US
Practice Address - Phone:609-593-3560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical