Provider Demographics
NPI:1992145718
Name:TAGGART, NOREEN (MSW)
Entity type:Individual
Prefix:MS
First Name:NOREEN
Middle Name:
Last Name:TAGGART
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 E LAKEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:OCEAN GATE
Mailing Address - State:NJ
Mailing Address - Zip Code:08740-1333
Mailing Address - Country:US
Mailing Address - Phone:732-580-9674
Mailing Address - Fax:
Practice Address - Street 1:14 E LAKEWOOD AVE
Practice Address - Street 2:
Practice Address - City:OCEAN GATE
Practice Address - State:NJ
Practice Address - Zip Code:08740-1333
Practice Address - Country:US
Practice Address - Phone:732-580-9674
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-25
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC05516001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical