Provider Demographics
NPI:1679651988
Name:STUTO, BILLIE-JO (MSW, LCSW, LCADC)
Entity type:Individual
Prefix:MRS
First Name:BILLIE-JO
Middle Name:
Last Name:STUTO
Suffix:
Gender:F
Credentials:MSW, LCSW, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 ROUTE 18 STE 106
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-3719
Mailing Address - Country:US
Mailing Address - Phone:201-232-3238
Mailing Address - Fax:
Practice Address - Street 1:1405 ROUTE 18 STE 106
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-3719
Practice Address - Country:US
Practice Address - Phone:201-232-3238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00072300101YA0400X
NJ44SC049420001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
060051PSYMedicare ID - Type Unspecified