Provider Demographics
NPI:1487776100
Name:SOMERSET COUNTY BOARD OF SOCIAL SERVICES
Entity type:Organization
Organization Name:SOMERSET COUNTY BOARD OF SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:E
Authorized Official - Last Name:KUNZMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-526-8800
Mailing Address - Street 1:PO BOX 936
Mailing Address - Street 2:73 EAST HIGH ST.
Mailing Address - City:SOMERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-0936
Mailing Address - Country:US
Mailing Address - Phone:908-526-8800
Mailing Address - Fax:908-526-1076
Practice Address - Street 1:73 E HIGH ST
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08876-2311
Practice Address - Country:US
Practice Address - Phone:908-526-8800
Practice Address - Fax:908-526-1076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0059005Medicaid