Healthcare Provider Details

I. General information

NPI: 1609292655
Provider Name (Legal Business Name): BRANDI MATZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2014
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 ALMA RD
LONG BEACH TOWNSHIP NJ
08008-7018
US

IV. Provider business mailing address

7 ALMA RD
LONG BEACH TOWNSHIP NJ
08008-7018
US

V. Phone/Fax

Practice location:
  • Phone: 908-397-5046
  • Fax:
Mailing address:
  • Phone: 203-445-6592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number008971
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC04946200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: