Provider Demographics
NPI:1164593364
Name:BARROW, JANE SUSAN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:SUSAN
Last Name:BARROW
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 1:126 CYPRESS ST
Mailing Address - Street 2:
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-2159
Mailing Address - Country:US
Mailing Address - Phone:973-763-8650
Mailing Address - Fax:775-254-2109
Practice Address - Street 1:126 CYPRESS ST
Practice Address - Street 2:
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-2159
Practice Address - Country:US
Practice Address - Phone:973-763-8650
Practice Address - Fax:775-254-2109
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC000136001041C0700X
NYPR13207-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical