Provider Demographics
NPI:1922159425
Name:BILOFSKY, CAROL P (MSW)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:P
Last Name:BILOFSKY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 HICKORY LN
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-1408
Mailing Address - Country:US
Mailing Address - Phone:856-985-3404
Mailing Address - Fax:856-985-7847
Practice Address - Street 1:12000 LINCOLN DR W
Practice Address - Street 2:SITE 407
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-3402
Practice Address - Country:US
Practice Address - Phone:856-985-3404
Practice Address - Fax:856-985-7847
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-13
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC000191001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACW001958LOtherLICENSE NUMBER
NJ44SC00019100OtherSOCIAL WORK LICENSE
NJ668662Medicare ID - Type UnspecifiedID