Provider Demographics
NPI:1730470956
Name:CID, BARBARA (MSW, CSSW)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:
Last Name:CID
Suffix:
Gender:F
Credentials:MSW, CSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 MATTHEW AVE
Mailing Address - Street 2:
Mailing Address - City:CARTERET
Mailing Address - State:NJ
Mailing Address - Zip Code:07008-2843
Mailing Address - Country:US
Mailing Address - Phone:732-900-3814
Mailing Address - Fax:
Practice Address - Street 1:23 MATTHEW AVE
Practice Address - Street 2:
Practice Address - City:CARTERET
Practice Address - State:NJ
Practice Address - Zip Code:07008-2843
Practice Address - Country:US
Practice Address - Phone:732-900-3814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-21
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ6121311041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool