Provider Demographics
NPI:1538642574
Name:ARTALE, CAROLYN (LCSW)
Entity Type:Individual
Prefix:PROF
First Name:CAROLYN
Middle Name:
Last Name:ARTALE
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 1:304 7TH AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:ASBURY PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-5220
Mailing Address - Country:US
Mailing Address - Phone:973-464-6985
Mailing Address - Fax:
Practice Address - Street 1:304 7TH AVE APT 3
Practice Address - Street 2:
Practice Address - City:ASBURY PARK
Practice Address - State:NJ
Practice Address - Zip Code:07712-5220
Practice Address - Country:US
Practice Address - Phone:973-464-6985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-14
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC056796001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical