Koczon, Danielle J

Koczon, Danielle J is an individual health care provider with primary practice located at 500 N Bridge St , Bridgewater NJ 08807-2135. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Koczon, Danielle J can be contacted via phone (908) 725-2800.

Contact Information

Primary practice address
500 N Bridge St Bridgewater NJ 08807-2135
Fax: (908) 704-1790
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05249400 New Jersey

Profile Details

NPI number 1689736464
LBN Legal business name Koczon, Danielle J
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Mar 31st, 2008 - about 16 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 1689736464 NPPES
New Jersey Other 527486 AGENCY MEDICARE NUMBER
New Jersey MEDICAID 0023701 AGENCY MEDICARE NUMBER

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