DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LONG BEACH ISLAND COMMUNITY CENTER, INC.

MEDICARE: LONG BEACH ISLAND COMMUNITY CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorNJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518909837
Entity Type Code : Organization
Provider Name (Legal Business Name) : LONG BEACH ISLAND COMMUNITY CENTER, INC.
Provider Business Mailing Address
First Line : 4700 LONG BEACH BLVD
Second Line :
City : LONG BEACH TOWNSHIP
State : NJ
Zip : 08008-3926
Country : US
Telephone Number : 609-494-1554
Fax Number : 609-361-9653
Provider Business Practice Location Address
First Line : 4700 LONG BEACH BLVD
Second Line :
City : LONG BEACH TOWNSHIP
State : NJ
Zip : 08008-3926
Country : US
Telephone Number : 609-494-1554
Fax Number : 609-361-9653
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : DR. ROBERT T. HAZLETT
Credential : LCSW, PH.D
Telephone Number : 609-494-1554
Provider Enumeration Date : 06/12/2006
Last Update Date : 10/23/2007

Similar Medicare Providers

1740222116 — SUE CRANE LCSW
Practice Location Address:
4700 LONG BEACH BLVD
LONG BEACH TOWNSHIP, NJ
08008-3926
Practice Phone: 609-494-1554
Practice Fax: 609-361-9653
1750327912 — ROBERT T. HAZLETT LCSW, PH.D
Practice Location Address:
4700 LONG BEACH BLVD
LONG BEACH TOWNSHIP, NJ
08008-3926
Practice Phone: 609-494-1554
Practice Fax: 609-361-9553
1952338972 — TERESA GRAY LEWIS LCSW, LMFT
Practice Location Address:
4700 LONG BEACH BLVD
LONG BEACH TOWNSHIP, NJ
08008-3926
Practice Phone: 609-494-1554
Practice Fax: 609-361-9653
1003948225 — ANNE ACKERMAN-O'BRIEN LSW,MSW
Practice Location Address:
4700 LONG BEACH BLVD
LONG BEACH TOWNSHIP, NJ
08008-3926
Practice Phone: 609-494-1554
Practice Fax: 609-361-9653
1407989338 — TATIANA GUINSBURG MA
Practice Location Address:
4700 LONG BEACH BLVD
LONG BEACH TOWNSHIP, NJ
08008-3926
Practice Phone: 609-494-1554
Practice Fax: 609-361-9653
1962535807 — MICHAEL CURLEY MA
Practice Location Address:
4700 LONG BEACH BLVD
LONG BEACH TOWNSHIP, NJ
08008-3926
Practice Phone: 609-494-1554
Practice Fax: 609-361-9653

Directions to “LONG BEACH ISLAND COMMUNITY CENTER, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.