Provider Demographics
NPI:1700053840
Name:GALKIN, JOAN AUDREY (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:AUDREY
Last Name:GALKIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:JOAN
Other - Middle Name:AUDREY
Other - Last Name:FALLR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:905 HERRONTOWN ROAD
Mailing Address - Street 2:PRINCETON HOUSE
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540
Mailing Address - Country:US
Mailing Address - Phone:609-688-3719
Mailing Address - Fax:609-497-2676
Practice Address - Street 1:4 PRINCESS RD STE 206
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-2322
Practice Address - Country:US
Practice Address - Phone:609-482-8049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-08
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSC45148104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker