Active NPIIndividual provider

Tina M O'Sullivan, LSW

Counselor, Mental Health in Highland Park, New Jersey

NPI Number1770295453
Practice location
1119 Raritan Ave, Highland Park, NJ 08904-3669
Fax
—
Last updated
December 14, 2022

Tina M O'Sullivan is a Counselor, Mental Health based in Highland Park, NJ. Tina M O'Sullivan practices in Highland Park, NJ and has the professional credentials of LSW. The NPI Number for Tina M O'Sullivan is 1770295453 and holds a License No. 44SL0688200 (NJ). The current practice location address for Tina M O'Sullivan is 1119 Raritan Ave, Highland Park, NJ 08904-3669 and can be reached out via phone at 800-379-9220.

Provider Profile Details

NPI Number
1770295453
Provider Name
Tina M O'Sullivan
Credential
LSW
Provider Entity Type
Individual
Gender
Female
Address
1119 Raritan Ave, Highland Park, NJ 08904-3669
Phone Number
800-379-9220
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
December 14, 2022
Last Update Date
December 14, 2022
Certification Date
December 14, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1119 Raritan Ave
Highland Park, NJ 08904-3669
Zip
08904-3669
Phone Number
800-379-9220
Highland Park, NJ 08904Get directions →

Provider Business Mailing Address Details

Address
175 Carson CT
Somerset, NJ 08873-4793
City
Somerset
State
NJ
Zip
08873-4793
Phone Number
814-598-9892

License Information

License Number
44SL0688200
License State
NJ
Taxonomy
Counselor, Mental Health · 101YM0800X · 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 Tina M O'Sullivan, LSW?

The NPI number of Tina M O'Sullivan, LSW is 1770295453. It was assigned on December 14, 2022 and is currently active in the NPPES registry.

What is the specialty of Tina M O'Sullivan, LSW?

Tina M O'Sullivan, LSW is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 44SL0688200.

Where does Tina M O'Sullivan, LSW practice?

The practice location is 1119 Raritan Ave, Highland Park, NJ 08904-3669. The office can be reached at 800-379-9220 (phone).

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 1770295453 directly on the NPPES registry website.

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