MR. DALE MARTIN MORTENSON (NPI# 1588766265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588766265 |
| Entity Type | Individual |
| Full Name | MR. DALE MARTIN MORTENSON |
| Credential | LCSW., LCADC. |
| Practice Address |
376 W End Ave Suite #48 Long Branch NJ 07740-5259 |
| Practice Telephone | 7322296262 |
| Practice Fax Number | 7322291396 |
| Mailing Telephone | 7322296262 |
| Mailing Fax Number | 7322291396 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SC00022000 | NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | LCADC. | 37LC00039100 | 01 |
| NJ | LCSW. | 44SC00022000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699984195 | Dale Norris Mortenson | Chiropractor | 2041 Polk St Ste A, San Francisco, CA 94109-2549 | 2007-05-21 |
| 1629149612 | Dale E Mortenson | Chiropractor | 1101 Ohio Ave, Lynn Haven, FL 32444-2554 | 2006-11-13 |
| 1801949722 | Dale R Mortenson | Surgery | 400 13th Ave S, Suite 102 Great Falls Surgical Associates, Great Falls, MT 59405-4300 | 2007-01-22 |
| Street Address |
376 W END AVE SUITE #48 |
| City | LONG BRANCH |
| State | NJ |
| Zip Code | 07740-5259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043789563 | Lauryn Elaine Balestiero | Social Worker | 75 North Bath Avenue, Long Branch, NJ 07740 | 2018-11-14 |
| 1063991768 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 96 Church St. Apt. 317, Aberdeen, NJ 07740 | 2018-08-13 |
| 1649765785 | Tatiana Nuzum | Student in an Organized Health Care Education/Training Program | 300 2nd Ave # Sw209, Long Branch, NJ 07740 | 2018-06-29 |
| 1558862466 | Melissa Gagliardi | Social Worker | 274 Bath Avenue, Unit 9, Long Branch, NJ 07740 | 2018-02-26 |
| 1871966879 | Caringhouse Projects, Inc | Respite Care | 218 Highland Avenue, Long Branch, NJ 07740 | 2015-11-12 |
| 1083096556 | Universal Rehabilitation & Fitness Center Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 73a Dudley St., Long Branch, NJ 07740 | 2015-06-22 |
| 1629450101 | Jonathan Kristan | Ophthalmology | 279 3rd Ave Ste 204, Long Branch, NJ 07740 | 2015-06-22 |
| 1730510769 | Elizabeth Worth | Registered Nurse | 63dunbar Ave, Long Branch, NJ 07740 | 2013-12-02 |
| 1710231022 | Pasquale Evangelista | Radiology | 300 2nd Ave., Department of Radiology, Long Branch, NJ 07740 | 2012-11-08 |
| 1326314162 | John Way Chin | Pharmacy | 134 Brighton Avenue, Long Branch, NJ 07740 | 2012-03-27 |
| Find all providers in zip 07740 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558862466 | Melissa Gagliardi | Social Worker | 274 Bath Avenue, Unit 9, Long Branch, NJ 07740 | 2018-02-26 |
| 1164966503 | Selena Gentile | Social Worker | 422 Morris Ave Ste 7, Long Branch, NJ 07740-6574 | 2016-12-05 |
| 1982074746 | Wade Wilkins Swink IIi | Social Worker | 140 Franklin Ave, Long Branch, NJ 07740-8211 | 2015-10-05 |
| 1679748826 | Bradford Louis Madreperl | Social Worker | 45 Memorial Pkwy, Long Branch, NJ 07740-6720 | 2008-04-29 |
| 1336335728 | Dale M Mortenson Lcsw LLC | Social Worker | 376 West End Avenue, Suite 48, Long Branch, NJ 07740 | 2007-09-19 |
| 1164626156 | Monmouth Medical Center | Social Worker | 75 N Bath Ave, Long Branch, NJ 07740-6317 | 2007-06-13 |
| 1295944536 | Judy Nasar | Social Worker | 676 Westwood Ave, Long Branch, NJ 07740-5009 | 2007-05-22 |
| 1376667329 | Stacy L Liss | Social Worker | 520 Atlantic Ave, Long Branch, NJ 07740-6832 | 2007-03-16 |
| 1598850471 | Regina Doyle | Social Worker | 245 S Lincoln Ave, Long Branch, NJ 07740-4571 | 2006-10-04 |
| 1891893459 | Carlos Cordero | Social Worker | 523 High St, Long Branch, NJ 07740-5509 | 2006-09-20 |
| Find all providers in LONG BRANCH | ||||
| City | LONG BRANCH |
| Zip Code | 07740 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.