Provider Demographics
NPI:1437485232
Name:SCONIERS, RANDOLPH DWAYNE (LCSW)
Entity type:Individual
Prefix:MR
First Name:RANDOLPH
Middle Name:DWAYNE
Last Name:SCONIERS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 OAK TREE AVE STE 2C
Mailing Address - Street 2:
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-4407
Mailing Address - Country:US
Mailing Address - Phone:848-391-3704
Mailing Address - Fax:
Practice Address - Street 1:142 OAK TREE AVE STE 2C
Practice Address - Street 2:
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-4407
Practice Address - Country:US
Practice Address - Phone:732-474-8109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-29
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC054048001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical