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Lifestyles Medical
General Practice Physician in West Long Branch, New Jersey
NPI 1699188359

Lifestyles Medical is a General Practice Physician based in West Long Branch, NJ. Lifestyles Medical practices in West Long Branch, NJ. The NPI Number for Lifestyles Medical is 1699188359 and holds a License No. 44SC05539700 (New Jersey).

The current practice location address for Lifestyles Medical is 107 Monmouth Rd, West Long Branch, NJ and can be reached out via phone at 732-542-2638 and via fax at 732-542-2620.

Location: 107 Monmouth Rd, West Long Branch, NJ, 07764-1021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699188359
Provider Name
Lifestyles Medical
Credential
Provider Entity Type
Organization
Address
107 Monmouth Rd, West Long Branch, NJ, 07764-1021
Phone Number
732-542-2638
Fax Number
732-542-2620
Provider Enumeration Date
06/10/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0600410687 01 NJ CORPORATE ID NUMBER
institution
Provider Business Practice Location Address Details
Address
107 Monmouth Rd
City
West Long Branch
State
New Jersey
Zip
07764-1021
Phone Number
732-542-2638
Fax Number
732-542-2620
person
Provider Business Mailing Address Details
Address
107 Monmouth Rd
City
West Long Branch
State
New Jersey
Zip
07764-1021
Phone Number
732-542-2638
Fax Number
732-542-2620
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
25MB07769000 (New Jersey)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
44SC05539700 (New Jersey)
Definition
Definition to come...
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