Provider Demographics
NPI:1003447509
Name:DEPKO COUNSELING AND CONSULTING LLC
Entity Type:Organization
Organization Name:DEPKO COUNSELING AND CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEPKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-977-5050
Mailing Address - Street 1:2164 HIGHWAY 35 STE 8
Mailing Address - Street 2:
Mailing Address - City:SEA GIRT
Mailing Address - State:NJ
Mailing Address - Zip Code:08750-1013
Mailing Address - Country:US
Mailing Address - Phone:732-977-5050
Mailing Address - Fax:732-361-8544
Practice Address - Street 1:2164 HIGHWAY 35 STE 8
Practice Address - Street 2:
Practice Address - City:SEA GIRT
Practice Address - State:NJ
Practice Address - Zip Code:08750-1013
Practice Address - Country:US
Practice Address - Phone:732-977-5050
Practice Address - Fax:732-361-8544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-03
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty