Healthcare Provider Details

I. General information

NPI: 1356450902
Provider Name (Legal Business Name): JAMES VOSS JR. LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 BOND ST
ASBURY PARK NJ
07712-5939
US

IV. Provider business mailing address

655 PROSPECT AVE
LITTLE SILVER NJ
07739-1500
US

V. Phone/Fax

Practice location:
  • Phone: 732-869-2772
  • Fax: 732-897-9541
Mailing address:
  • Phone: 732-741-2861
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05299900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: