Provider Demographics
NPI:1962506477
Name:PIERMATTEI, DENNIS JOHN (MSW, MSHA, LCSW, BCD)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:JOHN
Last Name:PIERMATTEI
Suffix:
Gender:M
Credentials:MSW, MSHA, LCSW, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 33RD ST S
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BRIGANTINE
Mailing Address - State:NJ
Mailing Address - Zip Code:08203-1635
Mailing Address - Country:US
Mailing Address - Phone:609-266-8968
Mailing Address - Fax:609-266-8968
Practice Address - Street 1:234 33RD ST S
Practice Address - Street 2:SUITE 200
Practice Address - City:BRIGANTINE
Practice Address - State:NJ
Practice Address - Zip Code:08203-1635
Practice Address - Country:US
Practice Address - Phone:609-266-8968
Practice Address - Fax:609-266-8968
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC006718001041C0700X
PACW0122311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical