Provider Demographics
NPI:1538176979
Name:CHIARAMONTE, JOHN ANTHONY (LCSW)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:ANTHONY
Last Name:CHIARAMONTE
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:21 WOODFERN RD
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-2962
Mailing Address - Country:US
Mailing Address - Phone:908-273-8171
Mailing Address - Fax:908-918-1192
Practice Address - Street 1:360 SPRINGFIELD AVE
Practice Address - Street 2:SUITE 301/302
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-4608
Practice Address - Country:US
Practice Address - Phone:908-918-1192
Practice Address - Fax:908-918-1192
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC002670001041C0700X
NYR016339-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical