Provider Demographics
NPI:1750643102
Name:CASLIN, EDWARD CHARLES (MSW)
Entity Type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:CHARLES
Last Name:CASLIN
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 WASHINGTON AVE
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:DUMONT
Mailing Address - State:NJ
Mailing Address - Zip Code:07628-1510
Mailing Address - Country:US
Mailing Address - Phone:201-501-0165
Mailing Address - Fax:
Practice Address - Street 1:401 WASHINGTON AVE
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:DUMONT
Practice Address - State:NJ
Practice Address - Zip Code:07628-1510
Practice Address - Country:US
Practice Address - Phone:201-501-0165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC046411001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical