Provider Demographics
NPI:1053740076
Name:HNOSKO, AYRIN L (LCSW)
Entity type:Individual
Prefix:
First Name:AYRIN
Middle Name:L
Last Name:HNOSKO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 KINGS HWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WEST DEPTFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08096-3165
Mailing Address - Country:US
Mailing Address - Phone:856-251-0500
Mailing Address - Fax:856-251-9696
Practice Address - Street 1:765 E ROUTE 70
Practice Address - Street 2:BUILDING A-100
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-2341
Practice Address - Country:US
Practice Address - Phone:856-983-3900
Practice Address - Fax:856-810-0110
Is Sole Proprietor?:No
Enumeration Date:2013-11-12
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC055387001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical