Healthcare Provider Details

I. General information

NPI: 1467170068
Provider Name (Legal Business Name): SEAN THORNE MSED, MSW, LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2022
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 PARK AVE
FLEMINGTON NJ
08822-1319
US

IV. Provider business mailing address

3 ROXBURG HILL RD
PHILLIPSBURG NJ
08865-9330
US

V. Phone/Fax

Practice location:
  • Phone: 908-324-2554
  • Fax: 908-454-9871
Mailing address:
  • Phone: 908-235-6916
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: