Provider Demographics
NPI:1366909012
Name:ROBLES, ANIBAL (MSW)
Entity type:Individual
Prefix:MR
First Name:ANIBAL
Middle Name:
Last Name:ROBLES
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 ALDEN TER
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-1531
Mailing Address - Country:US
Mailing Address - Phone:732-534-0579
Mailing Address - Fax:
Practice Address - Street 1:24 ALDEN TER
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-1531
Practice Address - Country:US
Practice Address - Phone:732-534-0579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-28
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0029807Medicaid