Provider Demographics
NPI:1134756638
Name:MULLIN, CARA (LCSW, LCADC)
Entity type:Individual
Prefix:MS
First Name:CARA
Middle Name:
Last Name:MULLIN
Suffix:
Gender:F
Credentials:LCSW, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 RUSSELL TER
Mailing Address - Street 2:
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-2449
Mailing Address - Country:US
Mailing Address - Phone:848-667-0863
Mailing Address - Fax:
Practice Address - Street 1:80 CONOVER RD
Practice Address - Street 2:
Practice Address - City:MARLBORO
Practice Address - State:NJ
Practice Address - Zip Code:07746-1003
Practice Address - Country:US
Practice Address - Phone:732-946-3030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-25
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC058090001041C0700X
NJ37LC00293600101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)