Spade, Edward
Spade, Edward is an individual health care provider with primary practice located at 94 Stevens Rd , Toms River NJ 08755-1490. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Spade, Edward can be contacted via phone (732) 914-1100.Contact Information
Primary practice address
94 Stevens Rd
Toms River NJ 08755-1490
Phone: (732) 914-1100
Fax: (732) 797-3830
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC05365500 | New Jersey |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW7668 | Florida |
Profile Details
| NPI number | 1982652368 |
|---|---|
| LBN Legal business name | Spade, Edward |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Jun 8th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982652368 | NPPES |
| Florida | Other | Z105X | BCBS PROVIDER NUMBER |
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