Provider Demographics
NPI:1356526032
Name:TARLOW, NECHAMA (LCSW)
Entity type:Individual
Prefix:MS
First Name:NECHAMA
Middle Name:
Last Name:TARLOW
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:PO BOX 1996
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07962-1996
Mailing Address - Country:US
Mailing Address - Phone:973-267-6437
Mailing Address - Fax:973-267-6437
Practice Address - Street 1:226 SUSSEX AVE,
Practice Address - Street 2:POB 1996
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07962-1996
Practice Address - Country:US
Practice Address - Phone:973-267-6437
Practice Address - Fax:973-267-6437
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-31
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0091758Medicaid