Provider Demographics
NPI:1891252656
Name:ELIZABETH L BARTON, MSW, LCSW, LLC
Entity Type:Organization
Organization Name:ELIZABETH L BARTON, MSW, LCSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JOSPEH
Authorized Official - Last Name:BARTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-814-9254
Mailing Address - Street 1:605 CARROLL FOX RD
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-4608
Mailing Address - Country:US
Mailing Address - Phone:908-814-9254
Mailing Address - Fax:848-232-1698
Practice Address - Street 1:44 PRINCETON AVE
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-3550
Practice Address - Country:US
Practice Address - Phone:732-286-7700
Practice Address - Fax:848-232-1698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-27
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ44SC04538700OtherNEW JERSEY SOCIAL WORK LICENSE