Healthcare Provider Details

I. General information

NPI: 1811806706
Provider Name (Legal Business Name): SARAH JENNY WOODRUFF LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1049 BROADWAY STE 2
WEST LONG BRANCH NJ
07764-1335
US

IV. Provider business mailing address

104 5TH AVE APT 6
BRADLEY BEACH NJ
07720-1279
US

V. Phone/Fax

Practice location:
  • Phone: 732-947-7551
  • Fax:
Mailing address:
  • Phone: 856-278-2124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC01310300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: