Provider Demographics
NPI:1144813155
Name:ROSE J. TESTA LCSW LLC
Entity type:Organization
Organization Name:ROSE J. TESTA LCSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:J
Authorized Official - Last Name:TESTA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:609-360-6690
Mailing Address - Street 1:189 CATHERINE LN
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-3612
Mailing Address - Country:US
Mailing Address - Phone:609-360-6690
Mailing Address - Fax:
Practice Address - Street 1:252 WASHINGTON ST STE A7
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-7582
Practice Address - Country:US
Practice Address - Phone:609-360-6690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-19
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty