Provider Demographics
NPI:1699810598
Name:BARABANDER, CAROLE SUSAN (MSW)
Entity Type:Individual
Prefix:MRS
First Name:CAROLE
Middle Name:SUSAN
Last Name:BARABANDER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:748 MORRIS TURNPIKE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:SHORT HILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07078
Mailing Address - Country:US
Mailing Address - Phone:973-921-0066
Mailing Address - Fax:973-379-3823
Practice Address - Street 1:748 MORRIS TURNPIKE
Practice Address - Street 2:SUITE 208
Practice Address - City:SHORT HILLS
Practice Address - State:NJ
Practice Address - Zip Code:07078
Practice Address - Country:US
Practice Address - Phone:973-921-0066
Practice Address - Fax:973-379-3823
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSC001211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ636740Medicare ID - Type Unspecified