Provider Demographics
NPI:1316035108
Name:KAPLAN, MARILYN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARILYN
Middle Name:
Last Name:KAPLAN
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 1:250 RIDGEDALE AVE APT N2
Mailing Address - Street 2:UNIT N-2
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-1333
Mailing Address - Country:US
Mailing Address - Phone:201-572-8057
Mailing Address - Fax:
Practice Address - Street 1:185 BROAD ST
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-2605
Practice Address - Country:US
Practice Address - Phone:201-572-8057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ444SC014626001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJKA716188Medicare ID - Type Unspecified