Active NPIIndividual providerSole proprietor

Mrs. Mary Antolik, LCSW

Social Worker, Clinical in Audubon, New Jersey

NPI Number1558508101
Practice location
618 S White Horse Pike, Audubon, NJ 08106-1315
Fax
856-546-6167
Last updated
January 17, 2009

Mary Antolik is a Social Worker, Clinical based in Audubon, NJ. Mary Antolik practices in Audubon, NJ and has the professional credentials of LCSW. The NPI Number for Mary Antolik is 1558508101 and holds a License No. 44SC05374400 (NJ). The current practice location address for Mary Antolik is 618 S White Horse Pike, Audubon, NJ 08106-1315 and can be reached out via phone at 856-546-0021 and via fax at 856-546-6167.

Provider Profile Details

NPI Number
1558508101
Provider Name
Mary Antolik
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
618 S White Horse Pike, Audubon, NJ 08106-1315
Phone Number
856-546-0021
Fax Number
856-546-6167
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 17, 2009
Last Update Date
January 17, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
618 S White Horse Pike
Audubon, NJ 08106-1315
Zip
08106-1315
Phone Number
856-546-0021
Fax Number
856-546-6167
Audubon, NJ 08106Get directions →

Provider Business Mailing Address Details

Address
618 S White Horse Pike
Audubon, NJ 08106-1315
City
Audubon
State
NJ
Zip
08106-1315
Phone Number
856-546-0021
Fax Number
856-546-6167

License Information

License Number
44SC05374400
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 Mrs. Mary Antolik, LCSW?

The NPI number of Mrs. Mary Antolik, LCSW is 1558508101. It was assigned on January 17, 2009 and is currently active in the NPPES registry.

What is the specialty of Mrs. Mary Antolik, LCSW?

Mrs. Mary Antolik, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05374400.

Where does Mrs. Mary Antolik, LCSW practice?

The practice location is 618 S White Horse Pike, Audubon, NJ 08106-1315. The office can be reached at 856-546-0021 (phone) or 856-546-6167 (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 1558508101 directly on the NPPES registry website.

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