Provider Demographics
NPI:1609419084
Name:WHITMORE, JOANN CASTIGLIA (LCSW)
Entity Type:Individual
Prefix:
First Name:JOANN
Middle Name:CASTIGLIA
Last Name:WHITMORE
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 1:45 RHONDA PL
Mailing Address - Street 2:
Mailing Address - City:WANAQUE
Mailing Address - State:NJ
Mailing Address - Zip Code:07465-1209
Mailing Address - Country:US
Mailing Address - Phone:862-228-0085
Mailing Address - Fax:
Practice Address - Street 1:170 KINNELON RD RM 11
Practice Address - Street 2:
Practice Address - City:KINNELON
Practice Address - State:NJ
Practice Address - Zip Code:07405-2324
Practice Address - Country:US
Practice Address - Phone:862-280-0085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-18
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC057448001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical