Provider Demographics
NPI:1598886376
Name:KAHN, CAROL S (LCSW)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:S
Last Name:KAHN
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 1:800 COOPER RD
Mailing Address - Street 2:#4
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-9555
Mailing Address - Country:US
Mailing Address - Phone:856-489-8940
Mailing Address - Fax:
Practice Address - Street 1:800 COOPER RD
Practice Address - Street 2:#4
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-9555
Practice Address - Country:US
Practice Address - Phone:856-489-8940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC011680001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical