Wellformed AI

NPI 1699816207 · live from the CMS NPI Registry

Adults & Children Behavioral Counseling

Social Worker, Clinical in Brick, NJ. National Provider Identifier 1699816207, active.

NPI record

NPI1699816207 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location2095 Route 88, Suite 3, Brick, NJ 08724
Practice phone732-701-0440
EnumeratedFebruary 8, 2007
Last updatedOctober 7, 2009
Authorized officialEileen Delhagen, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X— (NJ)

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