Provider Demographics
NPI:1942560040
Name:BILLOW, CAROL JOAN
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:JOAN
Last Name:BILLOW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 TOWN SQUARE
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07928-2568
Mailing Address - Country:US
Mailing Address - Phone:973-635-5554
Mailing Address - Fax:
Practice Address - Street 1:5 TOWN SQUARE
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:NJ
Practice Address - Zip Code:07928-2568
Practice Address - Country:US
Practice Address - Phone:973-635-5554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-22
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNEW JERSEY LCSW W1781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical