Dale M Mortenson LCSW LLC
Social Worker, Clinical in Long Branch, New Jersey
1336335728- Practice location
- 376 West End Avenue, Suite 48, Long Branch, NJ 07740
- Phone
- 732-229-6262
- Fax
- 732-229-1396
- Last updated
- September 19, 2007
Dale M Mortenson LCSW LLC is a healthcare organization based in Long Branch, NJ. Dale M Mortenson LCSW LLC practices in Long Branch, NJ. The NPI Number for Dale M Mortenson LCSW LLC is 1336335728 and holds a License No. 44SC00022000 (NJ). The current practice location address for Dale M Mortenson LCSW LLC is 376 West End Avenue, Suite 48, Long Branch, NJ 07740 and can be reached out via phone at 732-229-6262 and via fax at 732-229-1396.
Provider Profile Details
- NPI Number
- 1336335728
- Provider Name
- Dale M Mortenson LCSW LLC
- Provider Entity Type
- Organization
- Address
- 376 West End Avenue, Suite 48, Long Branch, NJ 07740
- Phone Number
- 732-229-6262
- Fax Number
- 732-229-1396
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Mr. Dale M Mortenson, LCSW LCADC · Psychotherapist Licensed Clinical S · 732-229-6262
- Provider Enumeration Date
- September 19, 2007
- Last Update Date
- September 19, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 376 West End Avenue
Suite 48
Long Branch, NJ 07740 - City
- Long Branch
- State
- New Jersey
- Zip
- 07740
- Phone Number
- 732-229-6262
- Fax Number
- 732-229-1396
Provider Business Mailing Address Details
- Address
- 376 West End Avenue
Suite 48
Long Branch, NJ 07740 - City
- Long Branch
- State
- NJ
- Zip
- 07740
- Phone Number
- 732-229-6262
- Fax Number
- 732-229-1396
License Information
- License Number
- 44SC00022000
- License State
- NJ
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dale M Mortenson LCSW LLC?
The NPI number of Dale M Mortenson LCSW LLC is 1336335728. It was assigned on September 19, 2007 and is currently active in the NPPES registry.
What is the specialty of Dale M Mortenson LCSW LLC?
Dale M Mortenson LCSW LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC00022000.
Where does Dale M Mortenson LCSW LLC practice?
The practice location is 376 West End Avenue, Suite 48, Long Branch, NJ 07740. The office can be reached at 732-229-6262 (phone) or 732-229-1396 (fax).
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 1336335728 directly on the NPPES registry website.