Sallyanne Bevere
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Farmingdale, NJ
NPI 1952906166 · NPPES record last updated Dec 3, 2020
Key facts
- NPI
- 1952906166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 37LC00181700 (NJ)
- Practice address
- 634 Squankum Yellowbrook Rd
Farmingdale, NJ 07727-3748 - Phone
- (732) 822-2995
- NPI assigned
- Dec 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 37LC00181700 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
| 44SC05664600 | NJ | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05664600 | NJ | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00181700 | NJ | Yes |
Addresses
Primary practice location
634 Squankum Yellowbrook Rd
Farmingdale, NJ 07727-3748
Mailing address
634 Squankum Yellowbrook Rd
Farmingdale, NJ 07727-3748
Phone (732) 822-2995
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Farmingdale | Direct | |
| CONNECT URL | Belmar | Direct |
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All providers in Farmingdale, NJ · Addiction (Substance Use Disorder) 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 Dec 3, 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.