Healthcare Provider Details

I. General information

NPI: 1811851686
Provider Name (Legal Business Name): NICOLE ASHLEE TRUMBUL CSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

492 ROUTE NJ-57
WASHINGTON NJ
07882-2129
US

IV. Provider business mailing address

159 W WASHINGTON AVE
WASHINGTON NJ
07882-2129
US

V. Phone/Fax

Practice location:
  • Phone: 908-689-1000
  • Fax:
Mailing address:
  • Phone: 908-689-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SW05421300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: