Mark Bartley, LCSW
Individual provider Active NPI Clinical Social Worker · Matawan, NJ
NPI 1376691048 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376691048
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC045841000 (NJ)
- Practice address
- 1088 State Route 34
Matawan, NJ 07747-1948 - Phone
- (732) 290-1700
- Fax
- (732) 290-0040
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC045841000 | NJ | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC045841000 | NJ | Yes |
Addresses
Primary practice location
1088 State Route 34
Matawan, NJ 07747-1948
Mailing address
1088 State Route 34
Matawan, NJ 07747-1948
Phone (732) 290-1700
Other providers in Matawan, NJ
- Andrea V Barauskas
- Bare Necessities Inc.
- Jatinder Kaur Baring
- Alyssa Bark
- Barbara Rose Baron
- Kenneth A. Barton
- Ojaswita Bastola
- Irene Maria Batista
- Bayshore Medical Equipments and Surgical Inc
- Jacob Scott Beal
All providers in Matawan, 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 8, 2007. 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.