Provider Demographics
NPI:1174791602
Name:MAKAROWSKI, DENNIS
Entity type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:
Last Name:MAKAROWSKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 JACKSON MILLS RD
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-8092
Mailing Address - Country:US
Mailing Address - Phone:732-409-6260
Mailing Address - Fax:732-409-1304
Practice Address - Street 1:30 JACKSON MILLS RD
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-8092
Practice Address - Country:US
Practice Address - Phone:732-409-6260
Practice Address - Fax:732-409-1304
Is Sole Proprietor?:No
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ101YA0400X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker