=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811851686
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NICOLE ASHLEE TRUMBUL CSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/15/2025
-----------------------------------------------------
Last Update Date | 12/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 492 ROUTE NJ-57
-----------------------------------------------------
City | WASHINGTON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07882-2129
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-689-1000
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 159 W WASHINGTON AVE
-----------------------------------------------------
City | WASHINGTON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07882-2129
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-689-1000
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | 44SW05421300
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------