Provider Demographics
NPI:1063551570
Name:STANTON, DONALD RAYMOND (MSW, LCSW,)
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:RAYMOND
Last Name:STANTON
Suffix:
Gender:M
Credentials:MSW, LCSW,
Other - Prefix:MR
Other - First Name:DON
Other - Middle Name:
Other - Last Name:STANTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:40 AVENUE OF THE CMN
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4800
Mailing Address - Country:US
Mailing Address - Phone:732-747-1413
Mailing Address - Fax:732-935-1727
Practice Address - Street 1:40 AVENUE AT THE CMN
Practice Address - Street 2:SUITE 203
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4532
Practice Address - Country:US
Practice Address - Phone:732-747-1413
Practice Address - Fax:732-935-1727
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC012999001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical