Provider Demographics
NPI:1659655215
Name:SERAS, CAROL HECKMAN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:HECKMAN
Last Name:SERAS
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 1:3 MILDRED TER
Mailing Address - Street 2:
Mailing Address - City:FLANDERS
Mailing Address - State:NJ
Mailing Address - Zip Code:07836-9710
Mailing Address - Country:US
Mailing Address - Phone:862-219-5217
Mailing Address - Fax:
Practice Address - Street 1:28 PLAZA RD
Practice Address - Street 2:SUITE 2
Practice Address - City:FLANDERS
Practice Address - State:NJ
Practice Address - Zip Code:07836-9416
Practice Address - Country:US
Practice Address - Phone:862-219-5217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-30
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSC046387001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical