Healthcare Provider Details

I. General information

NPI: 1134189111
Provider Name (Legal Business Name): MARIE BARBARA LOPRESTI MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARIE BARBARA ROSENBLUM MSW

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 01/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302-304 HAWTHORNE AVE SUITE #8
POINT PLEASANT BEACH NJ
08742-2539
US

IV. Provider business mailing address

7 BOWLING GREEN
POINT PLEASANT BEACH NJ
08742-5617
US

V. Phone/Fax

Practice location:
  • Phone: 732-330-9461
  • Fax:
Mailing address:
  • Phone: 732-714-8673
  • Fax: 732-714-8673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SC014654
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: