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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 44SL06686600 | NJ | Yes |
| 1041C0700X | Social Worker, Clinical | 44SC06625300 | NJ |
Practice location
200 Wyckoff RdEatontown, NJ 07724-1928
Phone 888-244-5373 · Fax 732-389-6468
Mailing address
33 Hamilton AveMorganville, NJ 07751-1222
Phone 732-272-8026
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