MARILLAC BEHAVIORAL HEALTH NPI 1104392604

NPI Details

MARILLAC BEHAVIORAL HEALTH is a clinical social worker in Basking Ridge, 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. MARILLAC BEHAVIORAL HEALTH NPI is 1104392604. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

233 MOUNT AIRY RD STE 100
BASKING RIDGE, NJ
ZIP 07920-338
Phone: (908) 280-1957
Fax: (908) 291-1212

The provider's authorized official is Jennifer Lynne Stull .
The authorized official title is Owner/psychotherapist and has the following contact phone number (908) 280-1952.

The enumeration date for this NPI number is 10/23/2018 and was last updated on 11/5/2025.

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: