Mary F Dashiell, LCSW
Individual provider Active NPI Clinical Social Worker · Monmouth JCT, NJ
NPI 1194132720 · NPPES record last updated Feb 12, 2016
Key facts
- NPI
- 1194132720
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SL05344800 (NJ)
- Practice address
- 15 Deans Rhode Hall Rd
Monmouth JCT, NJ 08852 - Phone
- (732) 543-4211
- NPI assigned
- Jul 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL05344800 | NJ | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SL05344800 | NJ | Yes |
| Mental Health Counselor | 101YM0800X | 44SC05533800 | NJ |
Addresses
Primary practice location
15 Deans Rhode Hall Rd
Monmouth JCT, NJ 08852
Mailing address
15 Deans Rhode Hall Rd
Monmouth JCT, NJ 08852-3021
Phone (732) 543-4211
Other providers in Monmouth JCT, NJ
- Bharati D Penupatruni MD LLC
- Convenient Family Medical Center
- Convenient Pediatrics
- Medha Gupta
- Kids Smile, PC
- Rani A Kolli
- Lisa D Marquette
- Jessette Areola Masanque
All providers in Monmouth JCT, 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 Feb 12, 2016. 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.