Doctor Name: | MS. JONI MANTELL |
NPI Number: | 1285867218 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW |
License Number: | 44SC05190700 |
Business Practice Address: | 2 Tree Farm Road Iac Center, Suite A200 Pennington, NJ - 08534 |
Business Phone Number: | 6092130977 |
Business Fax Number: | 6097375951 |
Mailing Address: | 2 Tree Farm Road, Iac Center, Suite A200 PENNINGTON |
State: | NJ |
Postal Code: | 08534 |
Phone Number: | 6092130977 |
Fax Number: | 6097375951 |
NPI Enumeration Date: | 08/25/2009 |
NPI Last Update Date: | 08/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC05190700 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |