Kevin Obrien, LCSW
Individual provider Active NPI Clinical Social Worker · South River, NJ
NPI 1275916645 · NPPES record last updated Jul 3, 2015
Key facts
- NPI
- 1275916645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC05271000 (NJ)
- Practice address
- 21 W Grochowiak St
South River, NJ 08882-1539 - Phone
- (732) 257-1633
- NPI assigned
- Jul 3, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 44SC05271000 | NJ | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 44SC05271000 | NJ | |
| Clinical Social Worker | 1041C0700X | 44SC05271000 | NJ | Yes |
Addresses
Primary practice location
21 W Grochowiak St
South River, NJ 08882-1539
Mailing address
21 W Grochowiak St
South River, NJ 08882-1539
Other names
- Mr. Kevin Obrien
Other providers in South River, NJ
- Daniela Morales-Paz
- Nephrology Hypertension Associates of Central Jersey PA
- Nicole Nyiszter
- James Gerard O'Brien
- Oasis Taxi LLC
- Stephanie Orakwue
- Orion Ambulance
- Powerarm Adult Care
- Quality Claim Solution Corp
- Rehoboth Healthcare LLC
All providers in South River, 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 Jul 3, 2015. 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.