Active NPIIndividual providerSole proprietor

Mr. Dennis Mikkelsen, LCSW

Social Worker, Clinical in Bayonne, New Jersey

NPI Number1154473213
Practice location
601 Broadway, Bayonne, NJ 07002-3818
Fax
—
Last updated
November 16, 2011

Dennis Mikkelsen is a Social Worker, Clinical based in Bayonne, NJ. Dennis Mikkelsen practices in Bayonne, NJ and has the professional credentials of LCSW. The NPI Number for Dennis Mikkelsen is 1154473213 and holds a License No. 44SC04809100 (NJ). The current practice location address for Dennis Mikkelsen is 601 Broadway, Bayonne, NJ 07002-3818 and can be reached out via phone at 201-339-9200.

Provider Profile Details

NPI Number
1154473213
Provider Name
Dennis Mikkelsen
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
601 Broadway, Bayonne, NJ 07002-3818
Phone Number
201-339-9200
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 17, 2007
Last Update Date
November 16, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
601 Broadway
Bayonne, NJ 07002-3818
Zip
07002-3818
Phone Number
201-339-9200
Bayonne, NJ 07002Get directions →

Provider Business Mailing Address Details

Address
38 Rolling Hill RD
Clinton, NJ 08809-2617
City
Clinton
State
NJ
Zip
08809-2617
Phone Number
201-725-8022

License Information

License Number
44SC04809100
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Dennis Mikkelsen, LCSW?

The NPI number of Mr. Dennis Mikkelsen, LCSW is 1154473213. It was assigned on January 17, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Dennis Mikkelsen, LCSW?

Mr. Dennis Mikkelsen, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC04809100.

Where does Mr. Dennis Mikkelsen, LCSW practice?

The practice location is 601 Broadway, Bayonne, NJ 07002-3818. The office can be reached at 201-339-9200 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154473213 directly on the NPPES registry website.

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