Alloway, Derrick Jason

Alloway, Derrick Jason is an individual health care provider with primary practice located at 305 Park Ave , Rutherford NJ 07070-2748. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Alloway, Derrick Jason can be contacted via phone (201) 207-9243.

Contact Information

Primary practice address
305 Park Ave Rutherford NJ 07070-2748
Phone: (201) 207-9243
Fax: (888) 627-5578
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 058247-1 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05391600

Profile Details

NPI number 1326234840
LBN Legal business name Alloway, Derrick Jason
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2007
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326234840 NPPES
New Jersey MEDICAID 0397458

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