Active NPIIndividual providerSole proprietor

Dylan Pidgeon, LCSW

Social Worker, Clinical in Eatontown, New Jersey

NPI Number1417675257
Practice location
1 Main St Ste 314, Eatontown, NJ 07724-3905
Fax
800-605-0612
Last updated
August 18, 2022

Dylan Pidgeon is a Social Worker, Clinical based in Eatontown, NJ. Dylan Pidgeon practices in Eatontown, NJ and has the professional credentials of LCSW. The NPI Number for Dylan Pidgeon is 1417675257 and holds a License No. 44SC06092300 (NJ). The current practice location address for Dylan Pidgeon is 1 Main St Ste 314, Eatontown, NJ 07724-3905 and can be reached out via phone at 800-605-0612 and via fax at 800-605-0612.

Provider Profile Details

NPI Number
1417675257
Provider Name
Dylan Pidgeon
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
1 Main St Ste 314, Eatontown, NJ 07724-3905
Phone Number
800-605-0612
Fax Number
800-605-0612
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 18, 2022
Last Update Date
August 18, 2022
Certification Date
August 18, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Main St Ste 314
Eatontown, NJ 07724-3905
Zip
07724-3905
Phone Number
800-605-0612
Fax Number
800-605-0612
Eatontown, NJ 07724Get directions →

Provider Business Mailing Address Details

Address
1159 Schmidt Ln
North Brunswick, NJ 08902-1363
City
North Brunswick
State
NJ
Zip
08902-1363
Phone Number
732-675-0660

License Information

License Number
44SC06092300
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 Dylan Pidgeon, LCSW?

The NPI number of Dylan Pidgeon, LCSW is 1417675257. It was assigned on August 18, 2022 and is currently active in the NPPES registry.

What is the specialty of Dylan Pidgeon, LCSW?

Dylan Pidgeon, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC06092300.

Where does Dylan Pidgeon, LCSW practice?

The practice location is 1 Main St Ste 314, Eatontown, NJ 07724-3905. The office can be reached at 800-605-0612 (phone) or 800-605-0612 (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 1417675257 directly on the NPPES registry website.

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