Galloway, Maryanne

Galloway, Maryanne is an individual health care provider with primary practice located at 700 Airport Rd , Lakewood NJ 08701-5907. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Galloway, Maryanne can be contacted via phone (732) 367-4700.

Contact Information

Primary practice address
700 Airport Rd Lakewood NJ 08701-5907
Phone: (732) 367-4700
Fax: (732) 364-2253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 44SL05594600 New Jersey
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SCO5503700 New Jersey

Profile Details

NPI number 1033492012
LBN Legal business name Galloway, Maryanne
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2011
Last updated Jul 11th, 2019 - about 5 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 1033492012 NPPES
New Jersey MEDICAID 0029807

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