The Counseling Center of Keyport
Organization Active NPI Clinical Social Worker · Keyport, NJ
NPI 1275418253 · NPPES record last updated Aug 8, 2025
Key facts
- NPI
- 1275418253
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- THE COUNSELING CENTER OF KEYPORT
- Practice address
- 328 Maple PL
Keyport, NJ 07735-1121 - Phone
- (732) 217-1283
- NPI assigned
- Aug 8, 2025
- Organization subpart
- No
Authorized official
- Name
- Molly Hahn, LCSW
- Title
- Owner/Director
- Phone
- (845) 709-0700
Practitioners 1
-
Molly Hahn, LMSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251001000660 | NJ | Part B Supplier - Clinic/Group Practice | 7012413883 |
Receives reassigned benefits from 1 practitioner Practice locations: Keyport, NJ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
328 Maple PL
Keyport, NJ 07735-1121
Mailing address
7 Coronet Ave
Lincroft, NJ 07738-1703
Phone (845) 709-0700
Other providers in Keyport, NJ
- Lucille Martha Sullivan
- Synergy Medical Laboratories Inc
- The Arc Middlesex County
- The Arc Middlesex County
- The Community YMCA
- The Stop and Shop Supermarket Co LLC
- Laura Thiringer
- Christa Marie Tozzi
- Rodnae Tucker
- Tvjgroup LLC
All providers in Keyport, 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 Aug 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.