NPI 1386152916 · live from the CMS NPI Registry
A Broader View
Social Worker, Clinical in Toms River, NJ. National Provider Identifier 1386152916, active.
NPI record
| NPI | 1386152916 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1108 Hooper Ave Ste 2, Toms River, NJ 08753 |
| Practice phone | 732-604-8107 |
| Enumerated | January 17, 2018 |
| Last updated | April 10, 2019 |
| Authorized official | Lynn Mazur, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 44SC05352000 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.