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Provider Information for 1134348550


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JENNIFER SCALTRITO LCSW


Sex: Female

NPI: 1134348550
Last Updated: 2024-01-02
Certification Date: 2024-01-02

Details

NameValue
NPI1134348550
Enumeration Date2007-04-24
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 131 LEAF LN
TOMS RIVER, NJ 08753-1781
United States

Phone: 732-575-5141 | Fax:
 
Primary Practice Address 131 LEAF LN
TOMS RIVER, NJ 08753-1781
United States

Phone: 732-575-5141 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 104100000X - Social Worker
No 1041C0700X - Social Worker - ClinicalNJ44SC05470400