Ocean County Counseling Clinic

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL05355800 Issued in NJ

Legal business name

OCEAN COUNTY COUNSELING CLINIC

Practice address

145 Curtis PL
Manasquan, NJ 08736-2811

Phone

(732) 718-0824

Fax

(732) 612-3885

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Bambi Walzer

Title

Program Supervisor

Phone

(732) 718-0824

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1457575300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087500096",
            "telephone_number": "609-718-0824",
            "fax_number": "732-612-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 CURTIS PL",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087362811",
            "telephone_number": "732-718-0824",
            "fax_number": "732-612-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN COUNTY COUNSELING CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "WALZER",
        "authorized_official_first_name": "BAMBI",
        "authorized_official_title_or_position": "PROGRAM SUPERVISOR",
        "authorized_official_telephone_number": "732-718-0824"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05355800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100277",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis N Nutini, MD
• Brian E. O'Mullan, D.C.
• Claudia O'Mullan, M.S., OT
• Ocean Acupuncture & Herb Medicine Center, LLC
• Ocean Breeze Behavioral Helth and Wellness
• Ocean County Foot & Ankle Surgical Associates
• Optimum Health Chiropractic, LLC
• Alexis Marissa Oram, MD
• Orthonj LLC
• Orthopaedic Institute of Central Jersey

• Social Worker in Manasquan, NJ
• Providers in Manasquan, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.