Stephanie Derosa, LPC
Individual provider Active NPI Professional Counselor · Bayville, NJ
NPI 1861932030 · NPPES record last updated Mar 7, 2017
Key facts
- NPI
- 1861932030
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 37PC00573600 (NJ)
- Practice address
- 160 Atlantic City Blvd
Bayville, NJ 08721-1229 - Phone
- (732) 349-5550
- NPI assigned
- Mar 7, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00573600 | NJ | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00573600 | NJ | Yes |
Addresses
Primary practice location
160 Atlantic City Blvd
Bayville, NJ 08721-1229
Mailing address
14 Aqueduct PL
Howell, NJ 07731-2400
Phone (732) 804-3247
Other names
- Mrs. Stephanie Derosa-Hillmann
Other providers in Bayville, NJ
- Tracy Ann Danielak
- Matthew B Davis
- Kristen Elizabeth Deeken
- Melissa Delizia
- Delta Community Supports, Inc.
- Roger Eric Desch
- Dawn Di Stefano
- Dominion Health
- Lauren Donnelly
- Brianna Isabelle Dorso
All providers in Bayville, NJ · Professional Counselor 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 Mar 7, 2017. 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.