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General NPI Number Information
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NPI Number | 1972160216
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Entity Type | Individual
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Provider Name | KRISTEN M. LAMORTICELLA LSW,LCADC
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Gender | Female
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Dates
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Enumeration Date | 05/22/2019
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Last Update Date | 12/30/2020
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Provider Practice Location Address
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Address Line | 313 CEDAR GROVE LN
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City | SOMERSET
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State | NJ
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Zip | 08873-5245
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Country | US
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Telephone | 973-647-8186
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Fax |
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Provider Business Mailing Address
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Address Line | 101 WOOD AVE S
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City | ISELIN
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State | NJ
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Zip | 08830-2749
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Country | US
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Telephone | 732-609-9600
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Fax |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SL06534000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 37CA00141900
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 37LC00314400
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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