Coastal Counseling Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05471200 Issued in NJ

Legal business name

COASTAL COUNSELING SERVICES, LLC

Practice address

1648 Bay Ave
Suite 2
Point Pleasant Boro, NJ 08742-4502

Phone

(732) 600-1306

Fax

(732) 899-6962

NPI assigned

Jul 28, 2011

Last updated

Jul 28, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Terry Larkin, MSW, LCSW

Title

Psychotherapist

Phone

(732) 600-1306

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311811200000",
    "number": "1295013985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 BAY AVE",
            "address_2": "SUITE 2",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087424502",
            "telephone_number": "732-600-1306",
            "fax_number": "732-899-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 BAY AVE",
            "address_2": "SUITE 2",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087424502",
            "telephone_number": "732-600-1306",
            "fax_number": "732-899-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-28",
        "last_updated": "2011-07-28",
        "status": "A",
        "authorized_official_last_name": "LARKIN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "732-600-1306",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05471200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Point Pleasant Boro, NJ
• Providers in Point Pleasant Boro, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.