Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sandra D Ivey-Prusinowski, LCSW

Individual provider Social Worker · NPI 1154689552

Sandra D Ivey-Prusinowski, LCSW is a Social Worker in Maplewood, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2012
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2040 Millburn Ave Ste 205
Maplewood, NJ 07040-3716
Phone: (201) 207-7268
Fax: (973) 761-7214
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 44SL05548300 (NJ)

Record details

NPI number1154689552
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 24, 2012
Last updated in NPPESJune 29, 2016

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