Provider Demographics
NPI:1093900896
Name:MCCUE, S. ELIZABETH (LCSW)
Entity Type:Individual
Prefix:
First Name:S.
Middle Name:ELIZABETH
Last Name:MCCUE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 WESTGATE DR
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:08801-1654
Mailing Address - Country:US
Mailing Address - Phone:908-604-8853
Mailing Address - Fax:
Practice Address - Street 1:20 WAVERLY PL
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:NJ
Practice Address - Zip Code:07940-1899
Practice Address - Country:US
Practice Address - Phone:908-604-8853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-14
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC012712001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical