Active NPIIndividual providerSole proprietor

Ms. Christine E Ferguson-Mizell, NJ LCSW

Social Worker, Clinical in Manasquan, New Jersey

NPI Number1568513356
Practice location
58 Broad St, Manasquan, NJ 08736-2907
Fax
732-833-1481
Last updated
September 21, 2012

Christine E Ferguson-Mizell is a Social Worker, Clinical based in Manasquan, NJ. Christine E Ferguson-Mizell practices in Manasquan, NJ and has the professional credentials of NJ LCSW. The NPI Number for Christine E Ferguson-Mizell is 1568513356 and holds a License No. SC47205 (NJ). The current practice location address for Christine E Ferguson-Mizell is 58 Broad St, Manasquan, NJ 08736-2907 and can be reached out via phone at 732-528-9904 and via fax at 732-833-1481.

Provider Profile Details

NPI Number
1568513356
Provider Name
Christine E Ferguson-Mizell
Credential
NJ LCSW
Provider Entity Type
Individual
Gender
Female
Address
58 Broad St, Manasquan, NJ 08736-2907
Phone Number
732-528-9904
Fax Number
732-833-1481
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 16, 2007
Last Update Date
September 21, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
58 Broad St
Manasquan, NJ 08736-2907
Zip
08736-2907
Phone Number
732-528-9904
Fax Number
732-833-1481
Manasquan, NJ 08736Get directions →

Provider Business Mailing Address Details

Address
Counseling Associates Central
58 Broad Street
Manasquan, NJ 08736
City
Manasquan
State
NJ
Zip
08736
Phone Number
732-528-9904
Fax Number
732-833-1481

License Information

License Number
SC47205
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. Christine E Ferguson-Mizell, NJ LCSW?

The NPI number of Ms. Christine E Ferguson-Mizell, NJ LCSW is 1568513356. It was assigned on January 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Christine E Ferguson-Mizell, NJ LCSW?

Ms. Christine E Ferguson-Mizell, NJ LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number SC47205.

Where does Ms. Christine E Ferguson-Mizell, NJ LCSW practice?

The practice location is 58 Broad St, Manasquan, NJ 08736-2907. The office can be reached at 732-528-9904 (phone) or 732-833-1481 (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 1568513356 directly on the NPPES registry website.

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