Individual provider · Type 1 NPI

Pamela J. Pater-Ennis, LCSW, M.DIV., PhD

Clinical Social Worker · Bergenfield, NJ

NPI number 1174656409 Active

Practice location

114 Brookview Ter
Bergenfield, NJ 07621-3100

Call (201) 962-6443 Map

Fax (201) 541-8100

Mailing address

114 Brookview Terrace
Bergenfield, NJ 07621-4504

Specialties and licenses

TaxonomyCodeLicense
Pastoral Counselor 101YP1600XNone listed
Clinical Social Worker 1041C0700XR042224-1 (NY)
Clinical Social Worker Primary 1041C0700X44SC05339100 (NJ)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1174656409

Pamela J. Pater-Ennis, LCSW, M.DIV., PhD's National Provider Identifier is 1174656409, issued on Mar 14, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bergenfield, NJ. The record was last updated on Dec 18, 2019.