Healthcare Provider Details

I. General information

NPI: 1346851698
Provider Name (Legal Business Name): JOSEPH ROBERT MOZINO LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2020
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 TAYLORS MILLS RD
MANALAPAN NJ
07726-3255
US

IV. Provider business mailing address

2 SILVERSIDE AVE
LITTLE SILVER NJ
07739-1713
US

V. Phone/Fax

Practice location:
  • Phone: 908-415-2042
  • Fax:
Mailing address:
  • Phone: 732-832-9564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number2018-000688
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW-GTL-20-01154
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC06235100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: