Healthcare Provider Details

I. General information

NPI: 1962339242
Provider Name (Legal Business Name): EWI THERAPEUTIC SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 MAIN ST
TOMS RIVER NJ
08753-7463
US

IV. Provider business mailing address

240 GRAND CENTRAL PKWY
BAYVILLE NJ
08721-2753
US

V. Phone/Fax

Practice location:
  • Phone: 732-267-6240
  • Fax:
Mailing address:
  • Phone: 732-267-6240
  • 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: MRS. MELISSA SANTANA
Title or Position: THERAPIST
Credential: LCSW
Phone: 732-267-6240