Anne Ackerman-O'Brien, LSW,MSW
Individual provider Active NPI Mental Health Counselor · Long Beach Township, NJ
NPI 1003948225 · NPPES record last updated Oct 8, 2007
Key facts
- NPI
- 1003948225
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 44SL052278100 (NJ)
- Practice address
- 4700 Long Beach Blvd
Long Beach Township, NJ 08008-3926 - Phone
- (609) 494-1554
- Fax
- (609) 361-9653
- NPI assigned
- Mar 12, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL052278100 | NJ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Beach Island Community Center, Inc. | Mental Health | Past | Accepting new patients |
| Long Beach Island Community Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 44SL052278100 | NJ | Yes |
Addresses
Primary practice location
4700 Long Beach Blvd
Long Beach Township, NJ 08008-3926
Mailing address
4700 Long Beach Blvd
Long Beach Township, NJ 08008-3926
Phone (609) 494-1554
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0094251 | Medicaid | NJ |
Other providers in Long Beach Township, NJ
All providers in Long Beach Township, NJ · Mental Health Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.