Active NPIIndividual providerSole proprietor

Ms. Sally L Blakely-Komar, LCSW

Social Worker, Clinical in Clinton, New Jersey

NPI Number1356473219
Practice location
10 Hunts Mill RD, Clinton, NJ 08809-1360
Fax
908-730-8139
Last updated
July 8, 2007

Sally Lynn Blakely-Komar is a Social Worker, Clinical based in Clinton, NJ. Sally Lynn Blakely-Komar practices in Clinton, NJ and has the professional credentials of LCSW. The NPI Number for Sally Lynn Blakely-Komar is 1356473219 and holds a License No. 44SC04594200 (NJ). The current practice location address for Sally Lynn Blakely-Komar is 10 Hunts Mill RD, Clinton, NJ 08809-1360 and can be reached out via phone at 908-703-8138 and via fax at 908-730-8139.

Provider Profile Details

NPI Number
1356473219
Provider Name
Sally Lynn Blakely-Komar
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
10 Hunts Mill RD, Clinton, NJ 08809-1360
Phone Number
908-703-8138
Fax Number
908-730-8139
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
March 9, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Hunts Mill RD
Clinton, NJ 08809-1360
Zip
08809-1360
Phone Number
908-703-8138
Fax Number
908-730-8139
Clinton, NJ 08809Get directions →

Provider Business Mailing Address Details

Address
10 Hunts Mill RD
Clinton, NJ 08809-1360
City
Clinton
State
NJ
Zip
08809-1360
Phone Number
908-703-8138
Fax Number
908-730-8139

License Information

License Number
44SC04594200
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 Ms. Sally L Blakely-Komar, LCSW?

The NPI number of Ms. Sally L Blakely-Komar, LCSW is 1356473219. It was assigned on March 9, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Sally L Blakely-Komar, LCSW?

Ms. Sally L Blakely-Komar, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC04594200.

Where does Ms. Sally L Blakely-Komar, LCSW practice?

The practice location is 10 Hunts Mill RD, Clinton, NJ 08809-1360. The office can be reached at 908-703-8138 (phone) or 908-730-8139 (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 1356473219 directly on the NPPES registry website.

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