Provider Demographics
NPI:1326614728
Name:MCARDLE, BARBARA (LSW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:MCARDLE
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:BOBBIE
Other - Middle Name:
Other - Last Name:MCARDLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LSW
Mailing Address - Street 1:45 ELM PL
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-1916
Mailing Address - Country:US
Mailing Address - Phone:732-618-8218
Mailing Address - Fax:
Practice Address - Street 1:1119 RARITAN AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:08904-3669
Practice Address - Country:US
Practice Address - Phone:800-379-9220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06658300104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker