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General NPI Number Information
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NPI Number | 1841477262
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Entity Type | Individual
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Provider Name | CARL CHRISTIAN HERTENSTEIN LCSW
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Gender | Male
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Dates
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Enumeration Date | 01/28/2008
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 103 OLD MARLTON PIKE STE 101
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City | MEDFORD
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State | NJ
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Zip | 08055-8772
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Country | US
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Telephone | 856-223-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 103 OLD MARLTON PIKE STE 101
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City | MEDFORD
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State | NJ
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Zip | 08055-8772
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Country | US
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Telephone | 856-223-2222
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Fax | 386-788-3600
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | SW8100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW8100
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | SW8100
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | SW8100
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW8100
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License Number State | NJ
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Taxonomy #6
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | SW8100
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License Number State | NJ
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