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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1659155307

Jordan Gruschow is an Addiction (Substance Use Disorder) Counselor in Ridgewood, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

550 Emker Ter
Ridgewood, NJ 07450-1202
Phone: (585) 415-3631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SC06232800 (NJ)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 37LC00370900 (NJ)

Record details

NPI number1659155307
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 23, 2023
Last updated in NPPESAugust 23, 2023
Certification dateAugust 23, 2023
Mailing address4 Forest Ave Ste 201, Paramus, NJ 07652-5246

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