Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Coastal Community Counseling Services LLC

Organization Clinical Social Worker · NPI 1790292787

Coastal Community Counseling Services LLC is a Clinical Social Worker in Middletown, New Jersey. Licensed in New Jersey. Registered with an NPI since 2017.

Licensed in
NJ
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

268 Pelican Rd
Middletown, NJ 07748-3040
Phone: (732) 610-8396
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SC05738600 (NJ)

Record details

NPI number1790292787
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kellie Illmensee — Owner/Director · (732) 610-8396
NPI enumeratedDecember 29, 2017
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025
Mailing address268 Pelican Rd, Middletown, NJ 07748-3040

Other providers in Middletown