Provider Demographics
NPI:1235118332
Name:MINGIONE, DOLORES M (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:DOLORES
Middle Name:M
Last Name:MINGIONE
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:935 HWY 34, SUITES 2E
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-3282
Mailing Address - Country:US
Mailing Address - Phone:732-681-7183
Mailing Address - Fax:732-441-0100
Practice Address - Street 1:935 HWY 34, SUITES 2E
Practice Address - Street 2:SUITE 3
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-3282
Practice Address - Country:US
Practice Address - Phone:732-681-7183
Practice Address - Fax:732-441-0100
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC007478001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
207527OtherCOMPSYCH
7329787OtherGHI
P404575OtherOXFORD
103952OtherMHN