COASTAL COMMUNITY COUNSELING SERVICES LLC (NPI# 1790292787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790292787 |
| Entity Type | Organization |
| Organization Name | COASTAL COMMUNITY COUNSELING SERVICES LLC |
| Practice Address |
503 1/2 Monmouth Avenue Rear Apartment Bradley Beach NJ 07720 |
| Mailing Address |
Po Box 256 Bradley Beach NJ 07720-0256 |
| Practice Telephone | 7326108396 |
| Mailing Telephone | 7326108396 |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |
| Authorized Official Name | KELLIE ILLMENSEE (OWNER/DIRECTOR) |
| Authorized Official Telephone | 7326108396 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SC05738600 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
503 1/2 MONMOUTH AVENUE REAR APARTMENT |
| City | BRADLEY BEACH |
| State | NJ |
| Zip Code | 07720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952801755 | Ezra N Klemow | Physical Therapist | 408 Lareine Ave, Bradley Beach, NJ 07720 | 2018-02-19 |
| 1710039490 | Marc Frederick Jenkins | Chiropractor | 506 Main St, Bradley Beach, NJ 07720-1010 | 2007-01-16 |
| 1053859546 | Jane Dougherty | Counselor | 13 Main St, 1, Bradley Beach, NJ 07720-1027 | 2017-02-06 |
| 1588894398 | Frank Lee | General Practice | 13 Main St, Bradley Beach, NJ 07720-1027 | 2009-07-15 |
| 1285799619 | Bradley Beach Pahramcy Inc. | Pharmacy | 128 Main St, Bradley Beach, NJ 07720-1030 | 2006-12-26 |
| 1376824318 | Karen M Levasseur | Social Worker | 514 Main St, Bradley Beach, NJ 07720-1044 | 2011-09-05 |
| 1497102313 | Jillian Ann Hadfield | Physical Therapist | 2 Main St, Suite 1, Bradley Beach, NJ 07720-1059 | 2016-05-20 |
| 1003101262 | Current Rehabilitation Co LLC | Clinic/Center | 2 Main St, Unit 206, Bradley Beach, NJ 07720-1059 | 2011-06-16 |
| 1801036553 | Kevin O'hare | Speech-Language Pathologist | 2 Main St, Suite 3, Bradley Beach, NJ 07720-1059 | 2009-02-20 |
| 1174775001 | Michelle Elizabeth Pires | Physical Therapist | 2 Main Street, Suite 1, Bradley Beach, NJ 07720-1060 | 2008-10-22 |
| Find all providers in zip 07720 | ||||
| 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 |
|---|---|---|---|---|
| 1245439777 | Rosemary Venter | Social Worker | 405 Beach Ave, Bradley Beach, NJ 07720-1201 | 2007-07-14 |
| 1376824318 | Karen M Levasseur | Social Worker | 514 Main St, Bradley Beach, NJ 07720-1044 | 2011-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417916 | Emily Hocking LLC | Social Worker | 3322 Route 22 Ste 806, Branchburg, NJ 08876-4406 | 2020-11-06 |
| 1699376566 | Francesca Bautista | Social Worker | 246 Outwater Ln, Garfield, NJ 07026-2606 | 2020-11-05 |
| 1326649419 | Lillian Serrano | Social Worker | 1881 S Delsea Dr Ste 7, Vineland, NJ 08360-6398 | 2020-11-04 |
| 1730780297 | Caroline Pence | Social Worker | 38 Waldron Ave, Summit, NJ 07901-2806 | 2020-11-02 |
| 1750981312 | Kylie Cleesattel | Social Worker | 37 Maple St Fl 2, Bloomfield, NJ 07003-3601 | 2020-10-31 |
| 1942800636 | Rising Road Counseling | Social Worker | 9 S Main St Ste 1b, Marlboro, NJ 07746-1539 | 2020-10-30 |
| 1043810831 | Carol Somerville | Social Worker | 9 Tenafly Rd, Tenafly, NJ 07670-2610 | 2020-10-29 |
| 1164022083 | Sarah Jack Services, LLC | Social Worker | 256 Sherman Ave, Teaneck, NJ 07666-3311 | 2020-10-29 |
| 1770183725 | Catherine Friedl Hartmann | Social Worker | 17 Cleveland Ave, Waldwick, NJ 07463-1622 | 2020-10-29 |
| 1053911131 | Megan Flanagan Lee | Social Worker | 230 Kinderkamack Rd Unit 309, River Edge, NJ 07661-2187 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
| City | BRADLEY BEACH |
| Zip Code | 07720 |
Please comment or provide details below to improve the information on COASTAL COMMUNITY COUNSELING SERVICES LLC.
| 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.