Provider Demographics
NPI:1558641431
Name:PADULA, JANINE MARIE (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:JANINE
Middle Name:MARIE
Last Name:PADULA
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 WERNER WAY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LEBANON
Mailing Address - State:NJ
Mailing Address - Zip Code:08833-2230
Mailing Address - Country:US
Mailing Address - Phone:908-849-4816
Mailing Address - Fax:908-849-4817
Practice Address - Street 1:3 WERNER WAY
Practice Address - Street 2:SUITE 300
Practice Address - City:LEBANON
Practice Address - State:NJ
Practice Address - Zip Code:08833-2230
Practice Address - Country:US
Practice Address - Phone:908-849-4816
Practice Address - Fax:908-849-4817
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-23
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC048859001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical