Provider Demographics
NPI:1952746349
Name:DALY, JAMIE ELIZABETH (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:ELIZABETH
Last Name:DALY
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 LAKEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-1211
Mailing Address - Country:US
Mailing Address - Phone:732-505-4612
Mailing Address - Fax:732-930-2225
Practice Address - Street 1:1901 LAKEWOOD RD
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-1211
Practice Address - Country:US
Practice Address - Phone:732-505-4612
Practice Address - Fax:732-930-2225
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-30
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL05863000101YM0800X
NJ44SC060893001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health