Provider Demographics
NPI:1144636135
Name:HERMANSEN-BELL, RANDI (MSW)
Entity type:Individual
Prefix:MRS
First Name:RANDI
Middle Name:
Last Name:HERMANSEN-BELL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 HENDRICKSON AVE
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-2574
Mailing Address - Country:US
Mailing Address - Phone:732-785-3000
Mailing Address - Fax:732-458-9777
Practice Address - Street 1:105 HENDRICKSON AVE
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-2574
Practice Address - Country:US
Practice Address - Phone:732-785-3000
Practice Address - Fax:732-458-9777
Is Sole Proprietor?:No
Enumeration Date:2014-07-10
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SLO5725900104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker