Provider Demographics
NPI:1346896230
Name:SAKS, CHELSEA (LCSW, CCTP)
Entity Type:Individual
Prefix:MS
First Name:CHELSEA
Middle Name:
Last Name:SAKS
Suffix:
Gender:F
Credentials:LCSW, CCTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 ROUTE 37 W STE 13
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-8047
Mailing Address - Country:US
Mailing Address - Phone:732-475-7294
Mailing Address - Fax:732-879-0380
Practice Address - Street 1:499 MARLBORO RD STE 1
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-3746
Practice Address - Country:US
Practice Address - Phone:732-543-1600
Practice Address - Fax:732-879-0380
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-15
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC058739001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical