NPIMap

Organization Active NPI

Blue Water Counseling Services

  • Clinical Social Worker
  • Manahawkin, NJ
National Provider Identifier
1659742765
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05511400 Issued in NJ
Legal business name
BLUE WATER COUNSELING SERVICES
Practice address
703 Mill Creek Rd
Suite E-2
Manahawkin, NJ 08050-3828
Phone
(609) 597-3424
Fax
(609) 597-3410
NPI assigned
Oct 14, 2015
Last updated
Oct 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Authorized official

Name
Karen Gesicki, LCSWNPI 1326395591
Title
Co-Owner
Phone
(609) 597-3424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05511400 NJ Primary
Clinical Social Worker 1041C0700X 44SC05516500 NJ

Addresses

Primary practice location

703 Mill Creek Rd
Suite E-2
Manahawkin, NJ 08050-3828

Mailing address

703 Mill Creek Rd
Suite E-2
Manahawkin, NJ 08050-3828
Phone (609) 597-3424

National Provider Directory

National Provider Directory

Locations

703 Mill Creek Rd
Ste E2
Manahawkin, NJ 08050
Phone (609) 597-3424

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1659742765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 MILL CREEK RD",
            "address_2": "SUITE E-2",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503828",
            "telephone_number": "609-597-3424",
            "fax_number": "609-597-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 MILL CREEK RD",
            "address_2": "SUITE E-2",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503828",
            "telephone_number": "609-597-3424",
            "fax_number": "609-597-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE WATER COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "GESICKI",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "609-597-3424",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05511400",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05516500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.