Provider Demographics
NPI:1356434633
Name:COVER, CAROL J (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:J
Last Name:COVER
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 1:2 FREDRICK CT
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-3820
Mailing Address - Country:US
Mailing Address - Phone:908-874-8752
Mailing Address - Fax:
Practice Address - Street 1:2 CLERICO LN
Practice Address - Street 2:SUITE 200
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-1615
Practice Address - Country:US
Practice Address - Phone:908-874-0071
Practice Address - Fax:908-874-0072
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052352001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical