Provider Demographics
NPI:1477204857
Name:BENJAMIN WAREHIME, LCSW LLC
Entity Type:Organization
Organization Name:BENJAMIN WAREHIME, LCSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WAREHIME
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:848-333-9587
Mailing Address - Street 1:311 REDMOND RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07079-1504
Mailing Address - Country:US
Mailing Address - Phone:848-333-9587
Mailing Address - Fax:
Practice Address - Street 1:535 MORRIS AVE STE 3
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-1025
Practice Address - Country:US
Practice Address - Phone:973-910-8300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-17
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty