MEDICARE: SARIT THALER LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	23938	CA
2	1041C0700X	Clinical Social Worker	44SC05780100	NJ

General Provider Information

NPI Number	:	1205067337
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARIT THALER LCSW

Provider Business Mailing Address
First Line	:	96 PRESSBURG LN
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-3183
Country	:	US
Telephone Number	:	310-923-5934
Fax Number	:

Provider Business Practice Location Address
First Line	:	96 PRESSBURG LN
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-3183
Country	:	US
Telephone Number	:	310-923-5934
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2009
Last Update Date	:	09/18/2024

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Directions to “ SARIT THALER LCSW” Practice Location

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