COASTAL COMMUNITY COUNSELING SERVICES LLC
NPI 1790292787
Social Worker - Clinical in Red Bank, NJ

NPI Status: Active since December 29, 2017

Contact Information

18 COLEMAN PL
RED BANK, NJ
ZIP 07701
Phone: (732) 610-8396

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  • Organization
  • Social Worker
  • Clinical

About COASTAL COMMUNITY COUNSELING SERVICES LLC

This page provides the complete NPI Profile along with additional information for Coastal Community Counseling Services Llc, a provider established in Red Bank, New Jersey operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1790292787 assigned on December 2017. The practitioner's primary taxonomy code is 1041C0700X with license number 44SC05738600 (NJ). The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Kellie Illmensee Lcsw (Owner/director)

NPI
1790292787
Provider Name
COASTAL COMMUNITY COUNSELING SERVICES LLC
Entity Type
Organization
Location Address
18 COLEMAN PL RED BANK, NJ 07701
Location Phone
(732) 610-8396
Mailing Address
18 COLEMAN PL RED BANK, NJ 07701
Mailing Phone
(732) 610-8396
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-29-2017
Last Update Date
10-04-2022
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A clinical social worker like Coastal Community Counseling Services Llc is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
44SC05738600
License State
NJ
Taxonomy Description
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KELLIE ILLMENSEE LCSW

Authorized Official Title
OWNER/DIRECTOR
Authorized Official Phone
(732) 610-8396

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1790292787
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27180494716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 4 + 9 + 4 + 7 + 1 + 6 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1790292787 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1629592993 KELLIE ILLMENSEE LCSW
Individual
Social Worker (Clinical)18 COLEMAN PL
RED BANK, NJ 07701
(732) 610-8396

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790292787, enumerated in the NPI registry as an "organization" on December 29, 2017

The provider is located at 18 Coleman Pl Red Bank, Nj 07701 and the phone number is (732) 610-8396

This medical organization specializes in Social Worker with taxonomy code 1041C0700X with a focus in Clinical

This NPI record was last updated on December 29, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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