Individual provider · Type 1 NPI

Jeanne Marie Koller, L.C.S.W.

Clinical Social Worker · Freehold, NJ

NPI number 1093909863 Active

Practice location

90 W Main St, 2nd Floor
Freehold, NJ 07728-2144

Fax (732) 577-1639

Mailing address

PO Box 412
Little Silver, NJ 07739-0412

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC00852500 (NJ)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1093909863

Jeanne Marie Koller, L.C.S.W.'s National Provider Identifier is 1093909863, issued on Sep 5, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Freehold, NJ. The record was last updated on Sep 5, 2007.