Active NPI
DBT Lifeskills, LLC
- Clinical Social Worker
- Lakewood, NJ
National Provider Identifier
1275965360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05466200
- Legal business name
- DBT LIFESKILLS, LLC
- Practice address
- 40 Airport Rd
Lakewood, NJ 08701-7032 - Phone
- (732) 363-6595
- NPI assigned
- Jul 31, 2013
- 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
- Blanca Klein
- Title
- Director
- Phone
- (732) 616-0581
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05466200 | NJ | Primary |
Addresses
Primary practice location
40 Airport Rd
Lakewood, NJ 08701-7032
Mailing address
206 Hadassah LN
Lakewood, NJ 08701-5563
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Lakewood, NJ
- NPI 1780018788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375228800000",
"number": "1275965360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 HADASSAH LN",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 AIRPORT RD",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087017032",
"telephone_number": "732-363-6595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DBT LIFESKILLS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-31",
"last_updated": "2013-07-31",
"status": "A",
"authorized_official_last_name": "KLEIN",
"authorized_official_first_name": "BLANCA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "732-616-0581"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05466200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.