Coastal Community Counseling Services LLC
Social Worker, Clinical in Middletown, New Jersey
1790292787- Practice location
- 268 Pelican RD, Middletown, NJ 07748-3040
- Phone
- 732-610-8396
- Fax
- —
- Last updated
- October 16, 2025
Coastal Community Counseling Services LLC is a healthcare organization based in Middletown, NJ. Coastal Community Counseling Services LLC practices in Middletown, NJ. The NPI Number for Coastal Community Counseling Services LLC is 1790292787 and holds a License No. 44SC05738600 (NJ). The current practice location address for Coastal Community Counseling Services LLC is 268 Pelican RD, Middletown, NJ 07748-3040 and can be reached out via phone at 732-610-8396.
Provider Profile Details
- NPI Number
- 1790292787
- Provider Name
- Coastal Community Counseling Services LLC
- Provider Entity Type
- Organization
- Address
- 268 Pelican RD, Middletown, NJ 07748-3040
- Phone Number
- 732-610-8396
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Kellie Illmensee, LCSW · Owner/Director · 732-610-8396
- Provider Enumeration Date
- December 29, 2017
- Last Update Date
- October 16, 2025
- Certification Date
- October 16, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 268 Pelican RD
Middletown, NJ 07748-3040 - City
- Middletown
- State
- New Jersey
- Zip
- 07748-3040
- Phone Number
- 732-610-8396
Provider Business Mailing Address Details
- Address
- 268 Pelican RD
Middletown, NJ 07748-3040 - City
- Middletown
- State
- NJ
- Zip
- 07748-3040
- Phone Number
- 732-610-8396
License Information
- License Number
- 44SC05738600
- License State
- NJ
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Coastal Community Counseling Services LLC?
The NPI number of Coastal Community Counseling Services LLC is 1790292787. It was assigned on December 29, 2017 and is currently active in the NPPES registry.
What is the specialty of Coastal Community Counseling Services LLC?
Coastal Community Counseling Services LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05738600.
Where does Coastal Community Counseling Services LLC practice?
The practice location is 268 Pelican RD, Middletown, NJ 07748-3040. The office can be reached at 732-610-8396 (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 1790292787 directly on the NPPES registry website.