Provider Demographics
NPI:1679321830
Name:MANDELBAUM, SARAH N STIEFEL (PHD, LCSW)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:N STIEFEL
Last Name:MANDELBAUM
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3-01 ALYSON ST
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-1426
Mailing Address - Country:US
Mailing Address - Phone:404-660-7897
Mailing Address - Fax:
Practice Address - Street 1:3-01 ALYSON ST
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-1426
Practice Address - Country:US
Practice Address - Phone:404-660-7897
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-10
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL063534001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical