Provider Demographics
NPI:1467166173
Name:BALCARRAN, DEIDRE (LMSW)
Entity Type:Individual
Prefix:
First Name:DEIDRE
Middle Name:
Last Name:BALCARRAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 MARLENE LN
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860-6122
Mailing Address - Country:US
Mailing Address - Phone:347-676-0588
Mailing Address - Fax:
Practice Address - Street 1:14 MARLENE LN
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-6122
Practice Address - Country:US
Practice Address - Phone:347-676-0588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker