Provider Demographics
NPI:1871045567
Name:GERSTEN, ESTHER (LCSW)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:GERSTEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 MILLER RD
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-2337
Mailing Address - Country:US
Mailing Address - Phone:732-363-0020
Mailing Address - Fax:732-901-1232
Practice Address - Street 1:308 MILLER RD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-2337
Practice Address - Country:US
Practice Address - Phone:732-363-0020
Practice Address - Fax:732-901-1232
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-27
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC047844001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical