Provider Demographics
NPI:1295043271
Name:PASAHOW, CAROLE M (DSW,LCSW)
Entity Type:Individual
Prefix:DR
First Name:CAROLE
Middle Name:M
Last Name:PASAHOW
Suffix:
Gender:F
Credentials:DSW,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5-11 SADDLE RIVER RD
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-5635
Mailing Address - Country:US
Mailing Address - Phone:201-475-2777
Mailing Address - Fax:201-475-2779
Practice Address - Street 1:5-11 SADDLE RIVER RD
Practice Address - Street 2:SUITE 2A
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-5635
Practice Address - Country:US
Practice Address - Phone:201-475-2777
Practice Address - Fax:201-475-2779
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-23
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC00168300102L00000X, 104100000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist