Provider Demographics
NPI:1346698479
Name:CARKHUFF, CRISTIN LYNN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CRISTIN
Middle Name:LYNN
Last Name:CARKHUFF
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 1:374 HADLEIGH LN
Mailing Address - Street 2:NORTH BRUNSWICK
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-4233
Mailing Address - Country:US
Mailing Address - Phone:732-289-4091
Mailing Address - Fax:
Practice Address - Street 1:374 HADLEIGH LN
Practice Address - Street 2:NORTH BRUNSWICK
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-4233
Practice Address - Country:US
Practice Address - Phone:732-289-4091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-31
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC049428001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical