Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Irina Ivanova

Individual provider Clinical Social Worker · NPI 1902623903

Irina Ivanova is a Clinical Social Worker in Fair Lawn, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2024

Practice location Address checks out

13-20 River Rd # R
Fair Lawn, NJ 07410-1847
Phone: (201) 466-2725
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SL07127800 (NJ)

Record details

NPI number1902623903
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 23, 2024
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024
Mailing address13-20 River Rd # R, Fair Lawn, NJ 07410-1847

Other providers in Fair Lawn