Provider Demographics
NPI:1417662842
Name:CUCCINELLO, CARA MARIA (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:MARIA
Last Name:CUCCINELLO
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 EISENHOWER DR STE 250
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-1416
Mailing Address - Country:US
Mailing Address - Phone:201-419-6143
Mailing Address - Fax:
Practice Address - Street 1:45 EISENHOWER DR STE 250
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-1416
Practice Address - Country:US
Practice Address - Phone:201-419-6143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-19
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC060690001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical