Provider Demographics
NPI:1558983023
Name:PRINGLE, JILL MERLYN (LCSW)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:MERLYN
Last Name:PRINGLE
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 1:26 MAIN ST STE 110
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07928-2425
Mailing Address - Country:US
Mailing Address - Phone:908-489-4322
Mailing Address - Fax:
Practice Address - Street 1:26 MAIN ST STE 110
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:NJ
Practice Address - Zip Code:07928-2425
Practice Address - Country:US
Practice Address - Phone:908-489-4322
Practice Address - Fax:973-635-6555
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-07
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC013771001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical