Provider Demographics
NPI:1942099957
Name:GRABELSKY, JASON OLIVER (LSW)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:OLIVER
Last Name:GRABELSKY
Suffix:
Gender:M
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 SMITH AVE APT 2C
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-1326
Mailing Address - Country:US
Mailing Address - Phone:908-397-4008
Mailing Address - Fax:
Practice Address - Street 1:33 SICOMAC RD STE 305
Practice Address - Street 2:
Practice Address - City:NORTH HALEDON
Practice Address - State:NJ
Practice Address - Zip Code:07508-2954
Practice Address - Country:US
Practice Address - Phone:973-348-6004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL05900600104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty