Individual
ELIZABETH A. RASTELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1201 RT. 37 EAST, SUITE 8, TOMS RIVER, NJ 08753
(732) 684-9855
(732) 270-8999
Mailing address
1201 ROUTE 37 E STE 8, P.O. BOX 1506, TOMS RIVER, NJ 08753-5728
(732) 684-9855
(732) 270-8999
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00078300
NJ
1041C0700X
Clinical Social Worker
Primary
44SC04332600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
091009VTS
MEDICARE ID- TYPE SPECIFI
NJ
Enumeration date
03/22/2006
Last updated
11/29/2007
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