Individual provider · NPI-1

Elizabeth Anderson, LCSW

Counselor, Mental Health · Eatontown, NJ

NPI number1417682899
StatusActive
Last updated in NPPESMay 28, 2026

Details

NPI
1417682899
Entity type
Individual (NPI-1)
Name
Elizabeth Anderson
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Jul 20, 2022
Certification date
May 28, 2026
Last updated
May 28, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health44SL06686600NJYes
1041C0700X Social Worker, Clinical44SC06625300NJ

Practice location

200 Wyckoff Rd
Eatontown, NJ 07724-1928

Phone 888-244-5373 · Fax 732-389-6468

Mailing address

33 Hamilton Ave
Morganville, NJ 07751-1222

Phone 732-272-8026

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