Doctor Name: | MS. JOSETTE O'ROURKE |
NPI Number: | 1548326143 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW |
License Number: | 44SC04767900 |
Business Practice Address: | 100 Route 46 West Village Green Budd Lake, NJ - 07828 |
Business Phone Number: | 9733474300 |
Business Fax Number: | 9733470984 |
Mailing Address: | 130 Powerville Rd, BOONTON |
State: | NJ |
Postal Code: | 070058705 |
Phone Number: | 9732995456 |
Fax Number: | 9733161839 |
NPI Enumeration Date: | 12/28/2006 |
NPI Last Update Date: | 01/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC04767900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |