Provider Demographics
NPI:1700551819
Name:COTTRELL, HARVEY DAVID II (LCSW)
Entity Type:Individual
Prefix:MR
First Name:HARVEY
Middle Name:DAVID
Last Name:COTTRELL
Suffix:II
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CHOMIC PL
Mailing Address - Street 2:
Mailing Address - City:UNION BEACH
Mailing Address - State:NJ
Mailing Address - Zip Code:07735-3003
Mailing Address - Country:US
Mailing Address - Phone:908-309-0492
Mailing Address - Fax:
Practice Address - Street 1:225 HIGHWAY 35 STE 206
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-5934
Practice Address - Country:US
Practice Address - Phone:732-723-7311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-11
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC062927001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical