Provider Demographics
NPI:1982386694
Name:SADOWSKI, BRENNA (LCSW, CCTP, LCADC)
Entity type:Individual
Prefix:
First Name:BRENNA
Middle Name:
Last Name:SADOWSKI
Suffix:
Gender:F
Credentials:LCSW, CCTP, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1075 STEPHENSON AVE UNIT C
Mailing Address - Street 2:
Mailing Address - City:OCEANPORT
Mailing Address - State:NJ
Mailing Address - Zip Code:07757-1242
Mailing Address - Country:US
Mailing Address - Phone:848-208-2636
Mailing Address - Fax:848-208-2051
Practice Address - Street 1:1075 STEPHENSON AVE UNIT C
Practice Address - Street 2:
Practice Address - City:OCEANPORT
Practice Address - State:NJ
Practice Address - Zip Code:07757-1242
Practice Address - Country:US
Practice Address - Phone:848-208-2636
Practice Address - Fax:848-208-2051
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC061789001041C0700X
NJ37LC00371400101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)