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BEACH BUNGALO LIMITED LIABILITY COMPANY NPI 1841326931


NPI Information

NPI: 1841326931
Provider Name: BEACH BUNGALO LIMITED LIABILITY COMPANY
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
892 COMMON WAY
SUITE H
TOMS RIVER, NJ
ZIP 08753
Phone: (732) 557-0354
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BEACH BUNGALO LIMITED LIABILITY COMPANY is a clinical social worker in Toms River, NJ. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. BEACH BUNGALO LIMITED LIABILITY COMPANY NPI is 1841326931. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

892 COMMON WAY
SUITE H
TOMS RIVER, NJ
ZIP 08753
Phone: (732) 557-0354
Fax: (732) 286-4334

The provider's authorized official is Sherry Lynn Goldman .
The authorized official title is President and has the following contact phone number (732) 557-0354.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 11/15/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistNEW JERSEYNo
21041C0700XSocial WorkerClinical44SC05201900NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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