Justine Ashlee, LCSW
Individual provider Active NPI Clinical Social Worker · Montclair, NJ
NPI 1104558113 · NPPES record last updated Sep 12, 2023
Key facts
- NPI
- 1104558113
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SL06490700 (NJ)
- Practice address
- 85 Park St
Montclair, NJ 07042-3465 - Phone
- (862) 234-0658
- NPI assigned
- Jun 28, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 44SL06490700 | NJ | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SL06490700 | NJ | Yes |
Addresses
Primary practice location
85 Park St
Montclair, NJ 07042-3465
Mailing address
85 Park St
Montclair, NJ 07042-3465
Phone (862) 234-0658
Other providers in Montclair, NJ
- Elise Aronov
- Laura M. Arrue
- Nana A Asante
- Ascend Physical Therapy, LLC
- Ascension Pelvic Health & Orthopedics
- Willard Walden Christopher Ashley Sr.
- Zachary L Ashley
- Shaun Astorga
- Atalla Medical LLC
- Sara N Atalla
All providers in Montclair, NJ · Clinical Social Worker 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 Sep 12, 2023. 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.