Provider Demographics
NPI:1790878635
Name:JAMES, CAROLINE MEREDITH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CAROLINE
Middle Name:MEREDITH
Last Name:JAMES
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 1:76 SEAVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-7220
Mailing Address - Country:US
Mailing Address - Phone:609-276-4991
Mailing Address - Fax:732-255-3631
Practice Address - Street 1:707 WHITE HORSE PIKE
Practice Address - Street 2:SUITE A3
Practice Address - City:ABSECON
Practice Address - State:NJ
Practice Address - Zip Code:08201-1458
Practice Address - Country:US
Practice Address - Phone:609-383-3330
Practice Address - Fax:609-383-3301
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC04334900101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health