Provider Demographics
NPI:1295183473
Name:PAOLILLO, CARA F (LCSW)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:F
Last Name:PAOLILLO
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 1:445 BRICK BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-6079
Mailing Address - Country:US
Mailing Address - Phone:732-977-9838
Mailing Address - Fax:
Practice Address - Street 1:445 BRICK BLVD STE 204
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-6079
Practice Address - Country:US
Practice Address - Phone:732-977-9838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-29
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC056238001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical