Provider Demographics
NPI:1225117112
Name:MCCABE, MARIE G (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARIE
Middle Name:G
Last Name:MCCABE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 JACKSON ST APT 3A
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-6084
Mailing Address - Country:US
Mailing Address - Phone:201-653-3200
Mailing Address - Fax:201-653-3250
Practice Address - Street 1:70 HUDSON ST STE 3
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-5618
Practice Address - Country:US
Practice Address - Phone:201-653-3200
Practice Address - Fax:201-653-3250
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC0461671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical