Dale M Mortenson LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00022000 Issued in NJ

Legal business name

DALE M MORTENSON LCSW LLC

Practice address

376 West End Avenue
Suite 48
Long Branch, NJ 07740

Phone

(732) 229-6262

Fax

(732) 229-1396

NPI assigned

Sep 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Dale M Mortenson, LCSW LCADC

Title

Psychotherapist Licensed Clinical S

Phone

(732) 229-6262

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1336335728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 WEST END AVENUE",
            "address_2": "SUITE 48",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "07740",
            "telephone_number": "732-229-6262",
            "fax_number": "732-229-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 WEST END AVENUE",
            "address_2": "SUITE 48",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "07740",
            "telephone_number": "732-229-6262",
            "fax_number": "732-229-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE M MORTENSON LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "MORTENSON",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST LICENSED CLINICAL S",
        "authorized_official_telephone_number": "732-229-6262",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW LCADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00022000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Czymek, DO
• D E Delopoulos
• Samantha Marie D'Averso, MSN, RN, PMHNP-BC
• Katherine Irene Dabashinsky
• Stella Iyabode Dairo, OT
• Michael D Daley, DNP, APN/A, CRNA
• Joseph John Dallessio, MD
• John B Dalton, M.D.
• Tejal Darji, DMD
• Harsh P Dave, OT

• Clinical Social Worker in Long Branch, NJ
• Providers in Long Branch, 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 Sep 19, 2007; 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.