1629138706 NPI number — MS. CAROLE E SCHWARTZ LCSW

Table of content: MS. CAROLE E SCHWARTZ LCSW (NPI 1629138706)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629138706 NPI number — MS. CAROLE E SCHWARTZ LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHWARTZ
Provider First Name:
CAROLE
Provider Middle Name:
E
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1629138706
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/19/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1138 HARMON COVE TOWERS
Provider Second Line Business Mailing Address:
CAROLE SCHWARTZ LCSW
Provider Business Mailing Address City Name:
SECAUCUS
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07094
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
201-553-9255
Provider Business Mailing Address Fax Number:
201-553-9255

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1138 HARMON COVE TOWER
Provider Second Line Business Practice Location Address:
APT 1138
Provider Business Practice Location Address City Name:
SECAUCUS
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07094-1738
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-805-1696
Provider Business Practice Location Address Fax Number:
201-553-9255
Provider Enumeration Date:
12/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  50767 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: P2912149 . This is a "OXFORD PROVIDER" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 344783 . This is a "MHN PROVIDER" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 7111478 . This is a "AETNA PROVIDER" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 50767 . This is a "LCSW LICENSE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




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