Provider Demographics
NPI:1114295953
Name:AMORELLI, JACQUELINE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JACQUELINE
Middle Name:
Last Name:AMORELLI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:BRIELLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08730-1528
Mailing Address - Country:US
Mailing Address - Phone:908-309-5891
Mailing Address - Fax:
Practice Address - Street 1:2358 RTE 9 S
Practice Address - Street 2:STE B5
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-0033
Practice Address - Country:US
Practice Address - Phone:908-309-5891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC053193001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical