Provider Demographics
NPI:1477533214
Name:STEIN, PAULA (MSW LCSW ACSW BCD)
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:
Last Name:STEIN
Suffix:
Gender:F
Credentials:MSW LCSW ACSW BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:246 PLUM DRIVE
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-1868
Mailing Address - Country:US
Mailing Address - Phone:732-308-0893
Mailing Address - Fax:
Practice Address - Street 1:11 BROAD STREET
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-1703
Practice Address - Country:US
Practice Address - Phone:732-462-7775
Practice Address - Fax:732-566-7727
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR02545211041C0700X
NJ44SC002658001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5461Medicare ID - Type Unspecified
NJ056904Medicare ID - Type Unspecified