Provider Demographics
NPI:1558177519
Name:OERTEL, KASEY CARMELLA (MA,LAMFT)
Entity type:Individual
Prefix:
First Name:KASEY
Middle Name:CARMELLA
Last Name:OERTEL
Suffix:
Gender:F
Credentials:MA,LAMFT
Other - Prefix:MRS
Other - First Name:KASEY
Other - Middle Name:CARMELLA
Other - Last Name:OERTEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA,LAMFT
Mailing Address - Street 1:286 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-3006
Mailing Address - Country:US
Mailing Address - Phone:908-704-0011
Mailing Address - Fax:
Practice Address - Street 1:286 E MAIN ST
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08876-3006
Practice Address - Country:US
Practice Address - Phone:908-704-0011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37FA00047200106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist