Provider Demographics
NPI:1013342047
Name:CASTELLINI, ERICA
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:CASTELLINI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1209 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:ASBURY PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-4903
Mailing Address - Country:US
Mailing Address - Phone:732-219-1900
Mailing Address - Fax:732-219-0202
Practice Address - Street 1:418 BOND ST
Practice Address - Street 2:
Practice Address - City:ASBURY PARK
Practice Address - State:NJ
Practice Address - Zip Code:07712-6908
Practice Address - Country:US
Practice Address - Phone:732-361-3609
Practice Address - Fax:732-210-0202
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-10
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC054968001041C0700X
NJ25MZ00101500171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical