Provider Demographics
NPI:1437243110
Name:WARNER, SUSAN (LCSW)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:WARNER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:
Other - Last Name:DELMASTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCADC
Mailing Address - Street 1:31 SALT SPRAY DRIVE
Mailing Address - Street 2:
Mailing Address - City:FORKED RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08731
Mailing Address - Country:US
Mailing Address - Phone:609-693-4602
Mailing Address - Fax:
Practice Address - Street 1:COUNSELING & REFERRAL SERVICES OF OCEAN, INC.
Practice Address - Street 2:270 CHAMBERS BRIDGE ROAD, SUITE 10
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08731
Practice Address - Country:US
Practice Address - Phone:732-920-2700
Practice Address - Fax:732-262-0707
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00099600101YA0400X
NJ44SC006515001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ022940QANMedicare ID - Type Unspecified