Provider Demographics
NPI:1821073958
Name:STOVER, WILLIAM (LCSW)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:STOVER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 BERRYWOOD LN
Mailing Address - Street 2:
Mailing Address - City:HIGH BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08829-2415
Mailing Address - Country:US
Mailing Address - Phone:908-638-8185
Mailing Address - Fax:
Practice Address - Street 1:1600 PERRINEVILLE RD STE 52
Practice Address - Street 2:
Practice Address - City:MONROE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08831-4903
Practice Address - Country:US
Practice Address - Phone:908-310-2053
Practice Address - Fax:609-395-7129
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC001300001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ164608000OtherMAGELLAN
NJ195901OtherMHN
NJ0845612000OtherAMERIHEALTH