Provider Demographics
NPI:1962824946
Name:SCHULTZ, KAREN
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:SCHULTZ
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 1:32 DIMSDALE DR
Mailing Address - Street 2:CHILD STUDY TEAM OFFICE
Mailing Address - City:LUMBERTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08048-5076
Mailing Address - Country:US
Mailing Address - Phone:609-702-5555
Mailing Address - Fax:
Practice Address - Street 1:32 DIMSDALE DR
Practice Address - Street 2:CHILD STUDY TEAM OFFICE
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048-5076
Practice Address - Country:US
Practice Address - Phone:609-702-5555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-10
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SW00942400104100000X
NJNJDEF0302001871041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool