Provider Demographics
NPI:1700927472
Name:KALLMAN, MEG (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MEG
Middle Name:
Last Name:KALLMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MARGUERITE
Other - Middle Name:
Other - Last Name:KALLMAN-O'CONNOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:51 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-8106
Mailing Address - Country:US
Mailing Address - Phone:973-267-9599
Mailing Address - Fax:973-267-9505
Practice Address - Street 1:51 SOUTH ST
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-8106
Practice Address - Country:US
Practice Address - Phone:973-267-9599
Practice Address - Fax:973-267-9505
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC001503001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ676865Medicare PIN