Provider Demographics
NPI:1891818589
Name:DIPAOLA, CAROL LYNN (LICENSED CLINICAL SO)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:LYNN
Last Name:DIPAOLA
Suffix:
Gender:F
Credentials:LICENSED CLINICAL SO
Other - Prefix:MS
Other - First Name:CAROL
Other - Middle Name:LYNN
Other - Last Name:KATCHIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW BCD
Mailing Address - Street 1:71 W MAIN ST STE 306
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2139
Mailing Address - Country:US
Mailing Address - Phone:908-692-0925
Mailing Address - Fax:732-252-8612
Practice Address - Street 1:71 W MAIN ST STE 306
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2139
Practice Address - Country:US
Practice Address - Phone:908-692-0925
Practice Address - Fax:732-252-8612
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
44SC049702001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical