Provider Demographics
NPI:1386654291
Name:SAVARESE, CAROLE A (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CAROLE
Middle Name:A
Last Name:SAVARESE
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 1:920 HUDSON ST
Mailing Address - Street 2:#2E
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-5128
Mailing Address - Country:US
Mailing Address - Phone:201-519-3378
Mailing Address - Fax:
Practice Address - Street 1:920 HUDSON ST
Practice Address - Street 2:#2E
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-5128
Practice Address - Country:US
Practice Address - Phone:201-519-3378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0630921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical