Provider Demographics
NPI:1841524709
Name:O'BRIEN DOYLE, CLARE (LCSW)
Entity type:Individual
Prefix:MS
First Name:CLARE
Middle Name:
Last Name:O'BRIEN DOYLE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:CLARE
Other - Middle Name:MARIE
Other - Last Name:O'BRIEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:P.O. BOX 863
Mailing Address - Street 2:
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534
Mailing Address - Country:US
Mailing Address - Phone:609-737-5742
Mailing Address - Fax:609-737-5742
Practice Address - Street 1:114 STRAUBE CENTER BLVD. K-20,6
Practice Address - Street 2:
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534
Practice Address - Country:US
Practice Address - Phone:609-737-5742
Practice Address - Fax:609-737-5742
Is Sole Proprietor?:No
Enumeration Date:2009-09-25
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SCO04422001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical