Provider Demographics
NPI:1154508760
Name:CRONIN, MAUREEN M (LCSW)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:M
Last Name:CRONIN
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 1:307 BROOKLYN BLVD
Mailing Address - Street 2:
Mailing Address - City:SEA GIRT
Mailing Address - State:NJ
Mailing Address - Zip Code:08750-2002
Mailing Address - Country:US
Mailing Address - Phone:908-334-3207
Mailing Address - Fax:732-493-8810
Practice Address - Street 1:307 BROOKLYN BLVD
Practice Address - Street 2:
Practice Address - City:SEA GIRT
Practice Address - State:NJ
Practice Address - Zip Code:08750-2002
Practice Address - Country:US
Practice Address - Phone:908-334-3207
Practice Address - Fax:732-493-8810
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-25
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC047802001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical