MEDICARE: MR. MILTON A FAITH 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	101YM0800X	Mental Health Counselor	SC00152	NJ

General Provider Information

NPI Number	:	1952450793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MILTON A FAITH LCSW

Provider Business Mailing Address
First Line	:	748 MORRIS TPKE
Second Line	:	SUITE 208
City	:	SHORT HILLS
State	:	NJ
Zip	:	07078-2623
Country	:	US
Telephone Number	:	732-340-1406
Fax Number	:

Provider Business Practice Location Address
First Line	:	748 MORRIS TPKE
Second Line	:	SUITE 208
City	:	SHORT HILLS
State	:	NJ
Zip	:	07078-2623
Country	:	US
Telephone Number	:	732-340-1406
Fax Number	:

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

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	06/14/2026

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