Wellformed AI

NPI 1689246498 · live from the CMS NPI Registry

Kristen Swain Accisano

Social Worker, Clinical in Manasquan, NJ. National Provider Identifier 1689246498, active.

NPI record

NPI1689246498 Type 1 · individual
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location18 Gardners Ln, Manasquan, NJ 08736
Practice phone732-610-2437
EnumeratedJuly 12, 2021
Last updatedJuly 12, 2021
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X44SC05755900 (NJ)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.