Provider Demographics
NPI:1528566320
Name:SAUMURE, CHRISTIN (LCSW, LCADC)
Entity Type:Individual
Prefix:
First Name:CHRISTIN
Middle Name:
Last Name:SAUMURE
Suffix:
Gender:F
Credentials:LCSW, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 BROAD ST # 1051
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4303
Mailing Address - Country:US
Mailing Address - Phone:732-290-5177
Mailing Address - Fax:
Practice Address - Street 1:11 CORNELL CT
Practice Address - Street 2:
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07724-9720
Practice Address - Country:US
Practice Address - Phone:732-290-5177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-26
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00274600101YA0400X
NJ44SC057577001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)