Provider Demographics
NPI:1467836924
Name:MANDEL, CARYN (LCSW)
Entity Type:Individual
Prefix:
First Name:CARYN
Middle Name:
Last Name:MANDEL
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 1:748 MORRIS TURNPIKE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SHORT HILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07078
Mailing Address - Country:US
Mailing Address - Phone:973-921-0900
Mailing Address - Fax:973-921-2967
Practice Address - Street 1:748 MORRIS TURNPIKE
Practice Address - Street 2:SUITE 202
Practice Address - City:SHORT HILLS
Practice Address - State:NJ
Practice Address - Zip Code:07078
Practice Address - Country:US
Practice Address - Phone:973-921-0900
Practice Address - Fax:973-921-2967
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-15
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC056100001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical