Provider Demographics
NPI:1831278837
Name:CASTRILLON, CATHERINE E (LCSW)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:E
Last Name:CASTRILLON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:CATHERINE
Other - Middle Name:ELIZABETH
Other - Last Name:CASTRILLON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:700 GODWIN AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:MIDLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07432-1460
Mailing Address - Country:US
Mailing Address - Phone:201-788-4601
Mailing Address - Fax:
Practice Address - Street 1:700 GODWIN AVE STE 200
Practice Address - Street 2:
Practice Address - City:MIDLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:07432-1460
Practice Address - Country:US
Practice Address - Phone:201-788-4601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL0530700104100000X
NJ44SC05356800104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker