Individual
JEFFREY CORBETT STARBUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
32 MULBERRY ROW, PRINCETON, NJ 08540-2838
(609) 683-1544
(609) 683-7152
Mailing address
32 MULBERRY ROW, PRINCETON, NJ 08540-2838
(609) 759-0108
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW #44SC00486400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0064500
GHI PROVIDER #
—
01
—
03826000
MBC PROVIDER #
—
01
—
104158
MHN PROVIDER #
—
01
—
145195
VALUE OPTIONS PROVIDER #
—
01
—
44SC00486400
LCSW, NEW JERSEY
NJ
01
—
5166311
AETNA PROVIDER #
—
01
—
9082278
PHCS PIN
—
01
—
IP097379
MAGELLAN (MBH) PROVIDER #
—
01
—
PR027175-1
LCSW, NEW YORK STATE
NY
Enumeration date
02/24/2007
Last updated
04/18/2019
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