Dormont, Mitchell Stephen

Dormont, Mitchell Stephen is an individual health care provider with primary practice located at 1961 Morris Ave Suite 206, Union NJ 07083-5914. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Dormont, Mitchell Stephen can be contacted via phone (908) 686-0560.

Contact Information

Primary practice address
1961 Morris Ave Suite 206 Union NJ 07083-5914
Fax: (908) 686-5040
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC00440600 New Jersey

Profile Details

NPI number 1083787584
LBN Legal business name Dormont, Mitchell Stephen
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083787584 NPPES
Other 16598200 MERIT HMO

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