Provider Demographics
NPI:1508923269
Name:FELDER-FREUND, CAROL LINDA (LCSW)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:LINDA
Last Name:FELDER-FREUND
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:
Other - Last Name:FREUND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:15 SPRING GARDEN RD
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08848-3600
Mailing Address - Country:US
Mailing Address - Phone:908-995-1587
Mailing Address - Fax:908-995-0679
Practice Address - Street 1:115 MAIN ST
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-1615
Practice Address - Country:US
Practice Address - Phone:908-806-2040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ882534Medicare ID - Type Unspecified