Provider Demographics
NPI:1457592313
Name:KAUFMAN, JILL BARNETT (LSW)
Entity Type:Individual
Prefix:MS
First Name:JILL
Middle Name:BARNETT
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 FISHER AVENUE
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540
Mailing Address - Country:US
Mailing Address - Phone:609-400-2888
Mailing Address - Fax:877-343-6657
Practice Address - Street 1:707 ALEXANDER RD
Practice Address - Street 2:STE 102
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-6331
Practice Address - Country:US
Practice Address - Phone:609-987-8100
Practice Address - Fax:609-987-0574
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-23
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC054169001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical