Provider Demographics
NPI:1508010331
Name:GELMAN, CARRIE FAYE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:FAYE
Last Name:GELMAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:CARRIE
Other - Middle Name:FAYE
Other - Last Name:SHIFF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:48 MAPLE STREET
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901
Mailing Address - Country:US
Mailing Address - Phone:551-580-0249
Mailing Address - Fax:908-464-4288
Practice Address - Street 1:48 MAPLE STREET
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901
Practice Address - Country:US
Practice Address - Phone:551-580-0249
Practice Address - Fax:908-464-4288
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-06
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC04786000104100000X, 1041C0700X, 1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool