Anabasis Psychotherapy Consultants, LLP
Organization Active NPI Clinical Social Worker · Somerville, NJ
NPI 1710104112 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1710104112
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SC-046094 (NJ)
- Legal business name
- ANABASIS PSYCHOTHERAPY CONSULTANTS, LLP
- Practice address
- 25 W High St
Somerville, NJ 08876-2100 - Phone
- (908) 526-5784
- Fax
- (908) 526-5789
- NPI assigned
- Apr 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Laura Suzanne Caile, MSW
- Title
- Managing Partner
- Phone
- (908) 526-5784
National Provider Directory
Locations
25 W High St
Somerville, NJ 08876
Phone (908) 430-0306
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | SC-046094 | NJ | Yes |
| Clinical Social Worker |
1041C0700X | SC-000394 | NJ |
Addresses
Primary practice location
25 W High St
Somerville, NJ 08876-2100
Mailing address
25 W High St
Somerville, NJ 08876-2100
Phone (908) 526-5784
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All providers in Somerville, 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 Aug 22, 2020. 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.