Active NPI
Marillac Behavioral Health
- Clinical Social Worker
- Basking Ridge, NJ
National Provider Identifier
1104392604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MARILLAC BEHAVIORAL HEALTH
- Practice address
- 233 Mount Airy Rd Ste 100
Basking Ridge, NJ 07920-2338 - Phone
- (908) 280-1957
- Fax
- (908) 291-1212
- NPI assigned
- Oct 23, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jennifer Lynne Stull, MSW, LCSW, CEDS
- Title
- Owner/Psychotherapist
- Phone
- (908) 280-1952
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
233 Mount Airy Rd Ste 100
Basking Ridge, NJ 07920-2338
Mailing address
233 Mount Airy Rd Ste 100
Basking Ridge, NJ 07920-2338
Phone (908) 280-1957
National Provider Directory
National Provider DirectoryLocations
278 N Union St
Ste 114
Lambertville, NJ 08530
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762300800000",
"number": "1104392604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 MOUNT AIRY RD STE 100",
"city": "BASKING RIDGE",
"state": "NJ",
"postal_code": "079202338",
"telephone_number": "908-280-1957",
"fax_number": "908-291-1212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 MOUNT AIRY RD STE 100",
"city": "BASKING RIDGE",
"state": "NJ",
"postal_code": "079202338",
"telephone_number": "908-280-1957",
"fax_number": "908-291-1212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARILLAC BEHAVIORAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-23",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A",
"authorized_official_last_name": "STULL",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "LYNNE",
"authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
"authorized_official_telephone_number": "908-280-1952",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MSW, LCSW, CEDS"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Basking Ridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.