Provider Demographics
NPI:1053704858
Name:PIPITONE, MARIA ANN (LCADC, LCSW)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:ANN
Last Name:PIPITONE
Suffix:
Gender:F
Credentials:LCADC, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 BRICK BLVD STE 307
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-6080
Mailing Address - Country:US
Mailing Address - Phone:848-287-3882
Mailing Address - Fax:877-507-3391
Practice Address - Street 1:445 BRICK BLVD STE 307
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-6080
Practice Address - Country:US
Practice Address - Phone:848-287-3882
Practice Address - Fax:877-507-3391
Is Sole Proprietor?:No
Enumeration Date:2015-03-18
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00218300101YA0400X
NJ44SC057940001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)