Provider Demographics
NPI:1659421410
Name:MCCAFFERTY, ANITA M (LCSW)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:M
Last Name:MCCAFFERTY
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 1:8001 LINCOLN DR W STE H
Mailing Address - Street 2:RT. 73 N
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-3211
Mailing Address - Country:US
Mailing Address - Phone:856-596-9000
Mailing Address - Fax:856-596-5511
Practice Address - Street 1:8001 LINCOLN DR W STE H
Practice Address - Street 2:RT. 73 N
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-3211
Practice Address - Country:US
Practice Address - Phone:856-596-9000
Practice Address - Fax:856-596-5511
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC003510001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical