Basic Information
Provider Information
NPI: 1689775058
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALMONTE
FirstName: DEBORAH
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 DIAMOND HILL RD
Address2:  
City: BERKELEY HEIGHTS
State: NJ
PostalCode: 079222104
CountryCode: US
TelephoneNumber: 9082734300
FaxNumber:  
Practice Location
Address1: 890 MOUNTAIN AVE
Address2:  
City: NEW PROVIDENCE
State: NJ
PostalCode: 079741218
CountryCode: US
TelephoneNumber: 9082778900
FaxNumber: 9085088919
Other Information
ProviderEnumerationDate: 09/26/2006
LastUpdateDate: 08/10/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/10/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X44SC05785800NJY Behavioral Health & Social Service ProvidersSocial WorkerClinical
1041C0700X077912NYN Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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