Healthcare Provider Details

I. General information

NPI: 1073659793
Provider Name (Legal Business Name): CHRISTINE MILNE MA, MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 MAIN ST
METUCHEN NJ
08840-2727
US

IV. Provider business mailing address

251 MAIN ST
METUCHEN NJ
08840-2727
US

V. Phone/Fax

Practice location:
  • Phone: 732-906-9410
  • Fax: 732-287-8636
Mailing address:
  • Phone: 732-906-9410
  • Fax: 732-287-8636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC00076200
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: