Provider Demographics
NPI:1932290616
Name:NAKHLEH, MARIA DEL CARMEN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:DEL CARMEN
Last Name:NAKHLEH
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 1:214 BROAD ST STE 2
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-2027
Mailing Address - Country:US
Mailing Address - Phone:732-784-3176
Mailing Address - Fax:
Practice Address - Street 1:214 BROAD ST STE 2
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-2027
Practice Address - Country:US
Practice Address - Phone:732-784-3176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC055207001041C0700X
DCLC500784671041C0700X
NY069419-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical