Provider Demographics
NPI:1700127586
Name:POOLE, TAUNJENETTE (LCSW)
Entity Type:Individual
Prefix:
First Name:TAUNJENETTE
Middle Name:
Last Name:POOLE
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 1:4101 ROUTE 42
Mailing Address - Street 2:SUITE B
Mailing Address - City:TURNERSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-1782
Mailing Address - Country:US
Mailing Address - Phone:856-318-1581
Mailing Address - Fax:856-318-1553
Practice Address - Street 1:4101 ROUTE 42
Practice Address - Street 2:SUITE B
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012-1782
Practice Address - Country:US
Practice Address - Phone:856-318-1581
Practice Address - Fax:856-318-1553
Is Sole Proprietor?:No
Enumeration Date:2013-03-04
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC055337001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical