Provider Demographics
NPI:1164552287
Name:VARGAS, ARNULFO JOSEPH (LCSW)
Entity Type:Individual
Prefix:
First Name:ARNULFO
Middle Name:JOSEPH
Last Name:VARGAS
Suffix:
Gender:M
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:PO BOX 362
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08204-0362
Mailing Address - Country:US
Mailing Address - Phone:609-898-4334
Mailing Address - Fax:609-898-4334
Practice Address - Street 1:1289 LAFAYETTE ST
Practice Address - Street 2:#G
Practice Address - City:CAPE MAY
Practice Address - State:NJ
Practice Address - Zip Code:08204-1708
Practice Address - Country:US
Practice Address - Phone:609-898-4334
Practice Address - Fax:609-898-4334
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC046235001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJMAGELLANOtherPPO