Ashley Ciccarelli

Individual provider Active NPI Clinical Social Worker · Haddon Heights, NJ

NPI 1669833703 · NPPES record last updated Jun 12, 2023

Key facts

NPI
1669833703
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
44SC05828300 (NJ)
Practice address
207 White Horse Pike
Haddon Heights, NJ 08035-1703
Phone
(856) 617-4544
NPI assigned
Mar 17, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
44SL05779700NJMDSocial Worker
44SC05828300NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Counseling Services Clinical Current
since Jun 18, 2023
Accepting new patients

Locations

207 White Horse Pike
Haddon Heights, NJ 08035
Phone (856) 617-4544

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL05779700 NJ
Clinical Social Worker 1041C0700X 44SC05828300 NJ Yes

Addresses

Primary practice location

207 White Horse Pike
Haddon Heights, NJ 08035-1703

Mailing address

101 Atlantic Ave
Voorhees, NJ 08043-1214
Phone (617) 279-1207

Other providers in Haddon Heights, NJ

All providers in Haddon Heights, NJ · Clinical Social Worker in New Jersey

Sources for this page

Verify at the official NPI Registry.