MARILLAC BEHAVIORAL HEALTH
NPI 1104392604
Social Worker - Clinical in Basking Ridge, NJ

Q: What is Marillac Behavioral Health's NPI number?

The NPI number for Marillac Behavioral Health is 1104392604. It was assigned to this organization in the NPPES registry on October 23, 2018.

Q: What is Marillac Behavioral Health's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since October 23, 2018

233 MOUNT AIRY RD STE 100, BASKING RIDGE, NJ 07920(908) 280-1957(908) 291-1212 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2025, Jul 25, 2022, Oct 23, 2018 (3 updates tracked since 2018).

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About Marillac Behavioral Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARILLAC BEHAVIORAL HEALTH (NPI 1104392604) is a healthcare organization registered as a clinical in Basking Ridge, New Jersey and active in the NPI registry since October 2018. The organization lists Jennifer Lynne Stull, Owner/psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1104392604

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameMARILLAC BEHAVIORAL HEALTH

Location Address233 MOUNT AIRY RD STE 100Basking Ridge, NJ 07920-2338

Mailing Address233 Mount Airy Rd Ste 100Basking Ridge, NJ 07920-2338 · (908) 280-1957 · Fax (908) 291-1212

Phone(908) 280-1957

Fax(908) 291-1212

Organization SubpartNo

Authorized OfficialJennifer Lynne StullOwner/psychotherapist · (908) 280-1952

Enumeration DateOctober 23, 2018

Last NPPES UpdateNovember 5, 20253 updates tracked since enumeration

NPPES CertifiedNovember 5, 2025

✔ NPI 1104392604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

233 MOUNT AIRY RD STE 100, Basking Ridge, NJ 07920

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HUMA ANSARI M.D.

Psychiatry & Neurology (Psychiatry)