Provider Demographics
NPI:1619234226
Name:REED GERALD, MAUREEN (CSW, CPE, MDIV)
Entity Type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:
Last Name:REED GERALD
Suffix:
Gender:F
Credentials:CSW, CPE, MDIV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 ADIRONDAK RD
Mailing Address - Street 2:
Mailing Address - City:BORDENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08505-4457
Mailing Address - Country:US
Mailing Address - Phone:609-915-4499
Mailing Address - Fax:
Practice Address - Street 1:20 SCHALKS CROSSING RD
Practice Address - Street 2:
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536-1613
Practice Address - Country:US
Practice Address - Phone:609-915-4499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-19
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJCPE101YP1600X
NJ44SW009691001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral