Provider Demographics
NPI:1609003607
Name:MOLONEY, TARA J (LSCW)
Entity Type:Individual
Prefix:MS
First Name:TARA
Middle Name:J
Last Name:MOLONEY
Suffix:
Gender:F
Credentials:LSCW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 ROUTE 517
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-2730
Mailing Address - Country:US
Mailing Address - Phone:908-674-1638
Mailing Address - Fax:
Practice Address - Street 1:1001 ROUTE 517
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-2730
Practice Address - Country:US
Practice Address - Phone:908-674-1638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-17
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC054314001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical