Provider Demographics
NPI:1629138706
Name:SCHWARTZ, CAROLE E (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CAROLE
Middle Name:E
Last Name:SCHWARTZ
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 1:1138 HARMON COVE TOWERS
Mailing Address - Street 2:CAROLE SCHWARTZ LCSW
Mailing Address - City:SECAUCUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07094
Mailing Address - Country:US
Mailing Address - Phone:201-553-9255
Mailing Address - Fax:201-553-9255
Practice Address - Street 1:1138 HARMON COVE TOWER
Practice Address - Street 2:APT 1138
Practice Address - City:SECAUCUS
Practice Address - State:NJ
Practice Address - Zip Code:07094-1738
Practice Address - Country:US
Practice Address - Phone:201-805-1696
Practice Address - Fax:201-553-9255
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ507671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP2912149OtherOXFORD PROVIDER
NJ344783OtherMHN PROVIDER
NJ7111478OtherAETNA PROVIDER
NJ50767OtherLCSW LICENSE
052172Medicare UPIN
NJ7111478OtherAETNA PROVIDER
052172Medicare PIN