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General NPI Number Information
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NPI Number | 1942221361
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Entity Type | Individual
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Provider Name | BETH THOMAS-REA LCSW, LCADC
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Gender | Female
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 17 S FRANKLIN TPKE 3RD FLOOR
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City | RAMSEY
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State | NJ
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Zip | 07446-2552
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Country | US
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Telephone | 201-803-3576
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Fax | 201-848-0061
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Provider Business Mailing Address
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Address Line | 17 S FRANKLIN TPKE
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City | RAMSEY
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State | NJ
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Zip | 07446-2552
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Country | US
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Telephone | 201-753-1354
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Fax | 201-848-0061
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 37LC00092400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05256800
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License Number State | NJ
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