Provider Demographics
NPI:1134189111
Name:LOPRESTI, MARIE BARBARA (MSW)
Entity type:Individual
Prefix:MS
First Name:MARIE
Middle Name:BARBARA
Last Name:LOPRESTI
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MRS
Other - First Name:MARIE
Other - Middle Name:BARBARA
Other - Last Name:ROSENBLUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:7 BOWLING GREEN
Mailing Address - Street 2:
Mailing Address - City:POINT PLEASANT BEACH
Mailing Address - State:NJ
Mailing Address - Zip Code:08742-5617
Mailing Address - Country:US
Mailing Address - Phone:732-714-8673
Mailing Address - Fax:732-714-8673
Practice Address - Street 1:302-304 HAWTHORNE AVE
Practice Address - Street 2:SUITE #8
Practice Address - City:POINT PLEASANT BEACH
Practice Address - State:NJ
Practice Address - Zip Code:08742-2539
Practice Address - Country:US
Practice Address - Phone:732-330-9461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC014654104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ203109OtherMHN
NJ1P943310OtherMAGELLAN
NJP2705892OtherOXFORD
NJ203109OtherMHN